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Abstract：
Background Ventral hernias are usually repaired by an open or laparoscopic approach. Quality of life after ventral hernia repair is a very important but often underestimated parameter. This prospective observational study was conducted to assess the quality of life and other related parameters after all types of ventral hernia repair, mainly between open and laparoscopic repairs. Objectives This study aimed to determine the quality of life after ventral hernia repairs. We also analysed and compared various parameters such as outcomes and satisfaction, postoperative pain, and complications between laparoscopic and open ventral hernia repair. Methods This was a hospital-based prospective observational study conducted from January 2020 to December 2021, which included a total of 70 patients with ventral hernias. Thirty-nine patients underwent open repair and 31 patients underwent laparoscopic repair. Demographic data and other data such as postoperative hospital stay, return to activity, postoperative pain, complications, and quality of life were collected and analysed. Results The distribution of different types of hernias observed in our study included 34% incisional hernias, 33% umbilical and paraumbilical hernias, and 33% epigastric hernias. The incidence of complications was significantly less in laparoscopic repair compared to open repair. Also, satisfaction at 1 month was significantly more in the laparoscopic group compared to the open group. However, there is no significant difference in the postoperative pain, postoperative hospital stay, return to activity, satisfaction at discharge, and quality of life at 1 month in both the laparoscopic and open repairs. Conclusion Laparoscopic ventral hernia repairs are associated with lesser complications and higher satisfaction. The use of tackers and trans-fascial sutures can significantly increase postoperative pain in laparoscopic repair and is the major factor affecting the short-term quality of life in laparoscopic repairs. As there is no difference in postoperative pain, hospital stay, and return to activity, laparoscopic repairs should be preferred wherever possible in view of fewer complications and higher satisfaction.
摘要：
背景腹侧疝通常通过开放或腹腔镜方法修复。腹侧疝修补术后的生活质量是一个非常重要但经常被低估的参数。这项前瞻性观察研究旨在评估所有类型的腹侧疝修补术后的生活质量和其他相关参数。主要介于开腹和腹腔镜之间。目的本研究旨在确定腹侧疝修补术后的生活质量。我们还分析和比较了各种参数，如结果和满意度，术后疼痛,腹腔镜和开腹疝修补术的并发症。方法这是一项基于医院的前瞻性观察性研究，于2020年1月至2021年12月进行，共包括70例腹疝患者。39例患者接受了开放修补术，31例患者接受了腹腔镜修补术。人口统计数据和其他数据，如术后住院时间，回到活动,术后疼痛,并发症,和生活质量的收集和分析。结果我们研究中观察到的不同类型疝的分布包括34％的切口疝，33%的脐疝和脐旁疝,和33%的腹壁疝.腹腔镜修补术与开腹修补术相比，并发症发生率明显较低。此外，1个月时,腹腔镜组的满意度明显高于开腹组.然而,术后疼痛无显著差异,术后住院时间,回到活动,出院时的满意度，腹腔镜和开腹修补术1个月时的生活质量。结论腹腔镜腹侧疝修补术并发症少，满意度高。在腹腔镜修补术中，使用搭扣和经筋膜缝线可显著增加术后疼痛，是影响腹腔镜修补术短期生活质量的主要因素。由于术后疼痛没有差异，住院,回到活动，考虑到更少的并发症和更高的满意度，应尽可能首选腹腔镜修复。
