Abstract：
BACKGROUND: Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair has become increasingly favored over open Lichtenstein tension-free mesh repair owing to its associated benefits, including reduced postoperative pain, early return to normal activities, and a comparable recurrence rate. In recent years, emphasis has been placed on patient-reported outcomes, particularly health-related quality of life (QOL), as a critical metric for evaluating surgical success. This study aimed to evaluate the overall QOL following laparoscopic TEP repair of unilateral inguinal hernia.
METHODS: This prospective study enrolled patients aged 18 years or older who underwent elective laparoscopic TEP hernia repair for unilateral inguinal hernia from April 2020 to March 2022. Data collected include demographic details, hernia characteristics, postoperative complications, and postoperative QOL assessment. The Short Form 36 Health Survey Version 2 (SF-36v2), a validated general QoL questionnaire, was administered preoperatively and at 1 month, 6 months, and 1 year postoperatively. Statistical analysis utilized paired t-tests for comparisons, with significance set at a p-value <.05.
RESULTS: A cohort of 49 patients, with a mean (standard deviation) age of 56.7 (14.0) years, predominantly comprising 47 men, was available for evaluation. Complications were observed in three (6.1%) of cases, with seroma/hematoma occurring in two patients and a wound infection necessitating antibiotic treatment in one patient. Notably, there were no instances of recurrence during the study period. Postoperative assessments revealed significant improvements in both physical and mental health at 1 month, with continued improvement noted up to 12 months.
CONCLUSIONS: Laparoscopic TEP inguinal hernia repair has been shown to improve both physical and mental health in patients with unilateral reducible inguinal hernia, with the majority of the improvement typically occurring within the initial month following surgery. It is crucial to communicate these improvement trends to patients undergoing hernia repair to help manage their expectations effectively.
METHODS: This prospective study enrolled patients aged 18 years or older who underwent elective laparoscopic TEP hernia repair for unilateral inguinal hernia from April 2020 to March 2022. Data collected include demographic details, hernia characteristics, postoperative complications, and postoperative QOL assessment. The Short Form 36 Health Survey Version 2 (SF-36v2), a validated general QoL questionnaire, was administered preoperatively and at 1 month, 6 months, and 1 year postoperatively. Statistical analysis utilized paired t-tests for comparisons, with significance set at a p-value <.05.
RESULTS: A cohort of 49 patients, with a mean (standard deviation) age of 56.7 (14.0) years, predominantly comprising 47 men, was available for evaluation. Complications were observed in three (6.1%) of cases, with seroma/hematoma occurring in two patients and a wound infection necessitating antibiotic treatment in one patient. Notably, there were no instances of recurrence during the study period. Postoperative assessments revealed significant improvements in both physical and mental health at 1 month, with continued improvement noted up to 12 months.
CONCLUSIONS: Laparoscopic TEP inguinal hernia repair has been shown to improve both physical and mental health in patients with unilateral reducible inguinal hernia, with the majority of the improvement typically occurring within the initial month following surgery. It is crucial to communicate these improvement trends to patients undergoing hernia repair to help manage their expectations effectively.
摘要：
背景：腹腔镜完全腹膜外（TEP）腹股沟疝修补术由于其相关的益处而越来越优于开放式Lichtenstein无张力网片修补术，包括减少术后疼痛，早日恢复正常活动，和相当的复发率。近年来,重点放在患者报告的结果上，特别是与健康相关的生活质量（QOL），作为评估手术成功的关键指标。本研究旨在评估腹腔镜TEP修补术治疗单侧腹股沟疝后的整体生活质量。
方法：这项前瞻性研究招募了年龄在18岁或以上的患者，这些患者在2020年4月至2022年3月期间接受了选择性腹腔镜TEP疝修补术治疗单侧腹股沟疝。收集的数据包括人口统计细节，疝的特点，术后并发症,和术后生活质量评估。简短表格36健康调查第2版(SF-36v2)，经过验证的一般QoL问卷，在术前和1个月时，6个月,术后1年。统计分析采用配对t检验进行比较，显著性设置为p值<.05。
结果：49名患者的队列，平均(标准差)年龄为56.7(14.0)岁，主要由47名男性组成，可供评估。3例(6.1%)出现并发症,两名患者发生血清肿/血肿，一名患者因伤口感染需要抗生素治疗。值得注意的是,研究期间没有复发.术后评估显示，1个月时身心健康均有显著改善，持续改善长达12个月。
结论：腹腔镜TEP腹股沟疝修补术已被证明可以改善单侧可复位腹股沟疝患者的身心健康，大部分改善通常发生在手术后的最初一个月内。至关重要的是将这些改善趋势传达给接受疝修补术的患者，以帮助有效地管理他们的期望。
方法：这项前瞻性研究招募了年龄在18岁或以上的患者，这些患者在2020年4月至2022年3月期间接受了选择性腹腔镜TEP疝修补术治疗单侧腹股沟疝。收集的数据包括人口统计细节，疝的特点，术后并发症,和术后生活质量评估。简短表格36健康调查第2版(SF-36v2)，经过验证的一般QoL问卷，在术前和1个月时，6个月,术后1年。统计分析采用配对t检验进行比较，显著性设置为p值<.05。
结果：49名患者的队列，平均(标准差)年龄为56.7(14.0)岁，主要由47名男性组成，可供评估。3例(6.1%)出现并发症,两名患者发生血清肿/血肿，一名患者因伤口感染需要抗生素治疗。值得注意的是,研究期间没有复发.术后评估显示，1个月时身心健康均有显著改善，持续改善长达12个月。
结论：腹腔镜TEP腹股沟疝修补术已被证明可以改善单侧可复位腹股沟疝患者的身心健康，大部分改善通常发生在手术后的最初一个月内。至关重要的是将这些改善趋势传达给接受疝修补术的患者，以帮助有效地管理他们的期望。
