Evidence map›Paper›PMID 38869812›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Impact on quality of life following inguinal hernia repair under local anaesthetic in a primary care setting.

T Toi, M Paduraru, R Chotai, A Pandya, D Stolady, K Lillig, J Foster, M Gismondi, Mpn Lewis

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

T ToiWest Suffolk Hospital NHS Trust, Hardwick Ln, Bury St Edmunds, Bury Saint Edmunds, IP33 2QZ, UK. teri.toi@wsh.nhs.uk.
M PaduraruNorfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich, NR4 7UY, UK.
R ChotaiNorfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich, NR4 7UY, UK.
A PandyaNorfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich, NR4 7UY, UK.
D StoladySt Stephen's Gate Medical Practice, 55 Wessex St, Norwich, NR2 2TJ, UK.
K LilligSt Stephen's Gate Medical Practice, 55 Wessex St, Norwich, NR2 2TJ, UK.
J FosterSt Stephen's Gate Medical Practice, 55 Wessex St, Norwich, NR2 2TJ, UK.
M GismondiNorfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich, NR4 7UY, UK.
Mpn LewisNorfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich, NR4 7UY, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInguinal hernia repair remains one of the most common elective general surgical procedures. Previous studies have suggested high rates of chronic pain afterwards. The aim of this study was to evaluate changes in quality of life after local anaesthetic (LA) inguinal hernia surgery performed in a primary care setting.

methodsQuality of life (QoL) was measured in all patients both pre-operatively and at 6-months post-operatively using the European Hernia Society Scoring tool. Data was analysed by tertile grouping according to initial symptom score.

results497 patients filled out pre-operative QoL forms between June 2020 and May 2022. Post-operative QoL scores were received from 179 patients (164 male (91.6%)). Median pre-operative score was 33 (IQR 20-48). Median post-operative score was 4 (IQR 1-11). Mean improvement in QoL score was 27.8. Nine patients had a worse score at 6-months compared to pre-op (5%). When the data was analysed by pre-op QoL group as expected the low symptom group (score 0-10) had minimal improvement in QoL (0.23) and 5 out of 13 patients (38%) had a worse score. The medium group (score 11-40) had a mean improvement in QoL of 17.25 with 3 out of 92 (3.2%) experiencing a worse score. The high symptom group (score 41-90) had a mean improvement in QoL of 45.4 with only 1 of 76 (1.3%) experiencing a worse score.

conclusionsLA Inguinal hernia repair improves QoL substantially 6-months after surgery. However, in those patients with low pre-operative scores (< 11) the gain is minimal and rates of chronic symptoms following surgery are very high. We recommend avoiding surgery in this group and instead adopting a surveillance approach.

Indexed as

Anesthesia, LocalHernia, InguinalHerniorrhaphyPrimary Health CareQuality of LifeAdultAgedFemaleHumansMaleMiddle AgedPostoperative PainHernia repairInguinal herniaLocal AnaestheticQuality of life

Identifiers

PMID38869812

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.