Long-term follow-up of tension-free Lichtenstein hernioplasty: Application of a qualitative-and-quantitative measurement instrument

被引：9

作者：

Beltran M.A. ^{[1
]}

Burgos C. ^{[1
]}

Almonacid J. ^{[1
]}

Larenas R. ^{[1
]}

Tapia T.F. ^{[1
]}

Vicencio A. ^{[1
]}

Danilova T. ^{[1
]}

Martinez H. ^{[1
]}

Cruces K.S. ^{[1
]}

Araya G. ^{[1
]}

机构：

[1] Departament of Surgery, Hospital de Ovalle, Ovalle IV Region

来源：

Hernia | 2005年 / 9卷 / 4期

关键词：

Hernioplasty; Herniorrhaphy; Lichtenstein; Quality-of-Life; Results;

D O I：

10.1007/s10029-005-0330-1

中图分类号：

学科分类号：

摘要：

Real outcomes for the inguinal tension-free Lichtenstein hernioplasty are not reflected by the usual parameters by which they are measured and habitually reported. It is possible to measure these outcomes from the point of view of the surgeon, as well as from the patient's, using an instrument specifically designed for that purpose. The aim of this study was to analyze the outcomes of the tension-free hernioplasty in 236 patients. Based upon the concept of quality-of-life, we designed a structured questionnaire in the form of a qualitative-and-quantitative measurement instrument. The study had two phases. First, we analyzed retrospectively the clinical records. Second, we interviewed the patients applying the instrument. The score demonstrated that 83% of the patients feel that the outcomes of their surgery are excellent, 9.7% feel that they are very good, and 3.8% feel that they are bad or very bad. Outcomes of the Lichtenstein hernioplasty should not only reflect the technological progress of hernia surgery but also the more intimate aspects of the patient's experience. It is possible to measure the outcomes of this common surgical procedure in a more complete way using a simple measurement instrument. © Springer-Verlag 2005.

引用

页码：368 / 374

页数：6

共 30 条

[1]

Lichtenstein I.L., Shulman A.G., Amid P.K., Montflor M.M., The tension-free hernioplasty, Am J Surg, 157, pp. 188-193, (1989)

[2]

Shulman A.G., Amid P.K., Lichtenstein I.L., The safety of mesh repair for primary inguinal hernias: Results of 3019 from five diverse surgical sources, Am Surg, 58, pp. 256-261, (1992)

[3]

Amid P.K., Shulman A.G., Lichtenstein I.L., The Lichtenstein open "tension-free" mesh repair of inguinal hernias, Surg Today, 25, pp. 619-625, (1995)

[4]

Friis E., Lindahl F., The tension-free hernioplasty in a randomized trial, Am J Surg, 172, pp. 315-319, (1996)

[5]

Wantz G.E., Experience with the tension-free hernioplasty for primary inguinal hernias in men, J Am Coll Surg, 183, pp. 351-356, (1996)

[6]

McGillicuddy J.E., Prospective randomized comparison of the Shouldice and Lichtenstein hernia repair procedures, Arch Surg, 133, pp. 974-978, (1998)

[7]

Celdran A., Frieyro O., Souto J.L., Villar S., Study of recurrences after anterior open tension-free hernioplasty, Hernia, 4, pp. 85-87, (2000)

[8]

Hernandez-Granados P., Ontanon M., Lasala M., Garcia C., Arguello M., Medina I., Tension-free hernioplasty in primary inguinal hernias A series of 2054 cases, Hernia, 4, pp. 141-143, (2000)

[9]

Nordin P., Bartelmess P., Jansson C., Svensson C., Edlund G., Randomized trial of Lichtenstein versus Shouldice hernia repair in general surgical practice, Br J Surg, 89, pp. 45-49, (2002)

[10]

Amid P.K., Lichtenstein tension-free hernioplasty: Its inception, evolution and principles, Hernia, 8, pp. 1-7, (2004)

← 1 2 3 →