Quality of Life After Laparoscopic Repair and Open Tension-Free Mesh Repair of Inguinal Hernia

Document Type : Original Article

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Department of General Surgery, Faculty of Medicine Al-Azhar University, Assuit, Egypt.

Abstract

Background: Groin hernia repair is one of the most common operative techniques in surgical practice. There are multiple surgical techniques for the treatment of groin hernias. No one of them is the optimum technique for the treatment of it so we study the quality of life as it may play a role in making the optimum dissension in the treatment of hernia.
The aim of the work: This prospective study aimed to assess outcomes and quality of life [QoL] for patients who have done open tension free mesh and laparoscopic repair techniques for inguinal hernia.
Patients and Methods: This was a prospective study, which included 100 patients operated for inguinal hernia between December 2021 and September 2022 at the Department of general surgery, Al-Azhar University Hospitals in Assuit.
Results: From all operated patients [100%] answered to SF-36 questionnaire. There was no significant differences between the patients Lichtenstein's and laparoscopic procedure [TAPP]. This was recorded for the eight domains analyzed with the SF-36 questionnaire.  Quality of life was much better in the laparoscopic group, especially in the physical scales of physical function, role physical, bodily pain, general health, and total physical health, which may reflect the effects of less body pain after laparoscopic surgery. In addition, better but not significant results were noted in mental health scales of vitality, social function, role emotional, and mental health, as well as total mental health
Conclusion: Laparoscopic repair is associated with better results in both physical and mental domains than the Lichtenstein's intervention. However, the difference did not reach statistical significance.  

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