Comparison of quality of life and complications after different surgical methods of unilateral inguinal hernia
Trauma Monthly: 14 (4); 217-221 Article Type: Research Article
H A, Mehrvarz
S, Mousavi Naeini
S M, Housseini Houshyar
S H. Comparison of quality of life and complications after different surgical methods of unilateral inguinal hernia,
Online ahead of Print
Aims: Hernia repair is one of the most frequent surgeries. The aim of this study was to compare the quality of life and complications of three different surgery methods. Materials & Methods: In this analytical cross-sectional study, 90 patients with unilateral inguinal hernia who were hospitalized in one of the Tehran city hospitals from March 2004 to February 2008 were evaluated. Patients were analyzed in three equal groups of properitoneal anterior approach (Rives), hernioraphy and open anterior (Lichtenstein). At least 12 months after inguinal hernia repair, quality of life of patients were evaluated with SF-36 questionnaire. Other important variables of after surgery complications such as hematoma, surgical site infection, pain level one year after surgery, testicular atrophy, recurrent hernia and groin numbness also was studied. Results: Quality of life score (physical and mental health) of patients in hernioraphia group were significantly lower than other groups. Level of pain after one year from surgery in hernioraphy group and anesthesia in surgery location after one year from surgery in Lichtenstein group was more than other groups. Postoperative recurrence was not observed in Rives, but there was one case in Liechtenstein and 4 in hernioraphy group . Surgical site infection and hematoma were higher in hernioraphy group but the difference was not significant. Patient satisfaction from the performed surgery was lower in hernioraphy group than the other two groups. Conclusion: hernioraphy method cause to lower quality of life and more subsequent complications than Liechtenstein and Rives methods .
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