Abstract：
Background: Incisional hernias are predominantly treated through open or laparoscopic surgery, with each method influencing recovery and patient-reported outcomes. This underscores the need for reliable assessment tools such as the EuraHS-QoL questionnaire to evaluate quality of life after surgery. Methods: This prospective single-center study was aimed at evaluating aestethic outcomes and patient satisfaction following laparoscopic versus open hernia repair. It involved 222 patients categorized by type of approach. The EuraHS-QoL questionnaire was used preoperatively and at 1- and 3-months post-surgery, with data analysis performed using Origin Pro 2018 and SPSS software version 28.0. Results: Among the participants, 152 were females and 70 males, with 78% undergoing open surgery and 22% laparoscopic. Findings revealed superior patient outcomes with laparoscopic repair in terms of pain management, daily activities, and aesthetic satisfaction. Patients reported significantly lower pain levels and fewer restrictions in daily activities post-laparoscopic surgery. While initial postoperative cosmetic results favored laparoscopic methods, the perceived differences in abdominal shape diminished over time. Conclusions: Laparoscopic repair significantly improves quality of life compared to open surgery, as shown by EuraHS-QoL scores. These results support the use of laparoscopic techniques in appropriate cases due to their benefits in pain reduction and faster functional recovery.
摘要：
背景：切口疝主要通过开放或腹腔镜手术治疗，每种方法都会影响康复和患者报告的结局。这强调了需要可靠的评估工具，例如EuraHS-QoL问卷来评估手术后的生活质量。方法：这项前瞻性单中心研究旨在评估腹腔镜与开放式疝修补术后的手术结果和患者满意度。它涉及222名按方法类型分类的患者。术前以及术后1个月和3个月使用EuraHS-QoL问卷，使用OriginPro2018和SPSS软件28.0版进行数据分析。结果：在参与者中，152名女性和70名男性，78%接受开腹手术，22%接受腹腔镜手术。研究结果表明，在疼痛管理方面，腹腔镜修复术的患者预后较好，日常活动,和审美满意度。患者报告腹腔镜手术后疼痛程度明显降低，日常活动限制较少。虽然最初的术后美容结果有利于腹腔镜方法，腹部形状的感知差异随着时间的推移而减少。结论:与开腹手术相比,腹腔镜修复术显著提高了患者的生活质量,如EuraHS-QoL评分所示。这些结果支持在适当情况下使用腹腔镜技术，因为它们在减轻疼痛和更快的功能恢复方面具有优势。
