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Observational Study
. 2024 Jun 17:37:e1798.
doi: 10.1590/0102-672020240005e1798. eCollection 2024.

QUALITY OF LIFE USING EURAHS-QoL SCORES AFTER SURGICAL TREATMENT OF INGUINAL HERNIA: LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) AND LICHTENSTEIN TECHNIQUES

Rodrigo Sanderson  1 , Danilo Dallago DE-Marchi  1 , Jean Clever Bido Cesário  1 , Lucas Godoy Dias Sanderson  1 , Bruno Zilberstein  1
Affiliations
Observational Study

QUALITY OF LIFE USING EURAHS-QoL SCORES AFTER SURGICAL TREATMENT OF INGUINAL HERNIA: LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) AND LICHTENSTEIN TECHNIQUES

Rodrigo Sanderson et al. Arq Bras Cir Dig. .

Abstract
in English, Portuguese

Background: Results on quality of life after inguinal hernia surgery, such as esthetics, postoperative pain, period of absence from activities, and recurrence are a relevant topic since inguinal hernia affects 27% of men and 3% of women at some point in their lives, and should guide health policies to allocate resources more efficiently.

Aims: To evaluate the quality of life in the late postoperative period of inguinal herniorrhaphy regarding recurrence, pain, esthetics, and restriction in activities, comparing the minimally invasive techniques - the transabdominal preperitoneal (TAPP) and the conventional Lichtenstein.

Methods: A cross-sectional observational clinical study was conducted with the EuraHS-QoL questionnaire validated and translated into Portuguese, applied to patients after an average of 65 months postoperatively. Forty-five patients were assessed, 28 undergoing Lichtenstein and 17 undergoing TAPP. All were males aged between 18 and 87 years with a primary unilateral inguinal hernia. Recurrent or bilateral hernias, other concomitant abdominal wall hernias, patients who chose not to participate or who were not found, and female patients were excluded from the study.

Results: Regarding the domains pain, restriction, and esthetics, there was no difference between the two groups when examining quality of life. Neither group presented recurrence in the studied period.

Conclusions: Both TAPP and Lichtenstein techniques presented similar results concerning quality of life when compared in the long-term.

RACIONAL:: Os resultados de qualidade de vida após cirurgia de hérnia inguinal, como estética, dor pós-operatória, período de afastamento das atividades e recorrência é um tema relevante, uma vez que a hérnia inguinal atinge 27% dos homens e 3% das mulheres em algum momento da vida, e deveriam orientar as políticas de saúde para alocar recursos de forma mais eficiente.

OBJETIVOS:: Avaliar a qualidade de vida no pós-operatório tardio de herniorrafia inguinal quanto a recidiva, dor, estética e restrição de atividades, comparando as técnicas minimamente invasivas transabdominal pré-peritoneal (TAPP) e convencional, Lichtenstein.

MÉTODOS:: Estudo clínico observacional transversal com questionário EuraHS-QoL validado e traduzido para o português, aplicado em pacientes após média de 65 meses de pós-operatório. Foram estudados 45 pacientes, 28 submetidos a Lichtenstein e 17 submetidos a TAPP. Todos eram do sexo masculino, com idade entre 18 e 87 anos, com hérnia inguinal unilateral primária. Hérnias recorrentes ou bilaterais, outras hérnias concomitantes da parede abdominal, pacientes que optaram por não participar ou que não foram encontrados e pacientes do sexo feminino foram excluídos do estudo.

RESULTADOS:: Em relação aos domínios dor, restrição e cosméticos, não houve diferença entre os dois grupos na avaliação da qualidade de vida. Os dois grupos não apresentaram recidiva no período estudado.

CONCLUSÕES:: Tanto a técnica TAPP quanto a técnica de Lichtenstein, neste estudo, apresentaram resultados semelhantes, quando comparadas em longo prazo, no que diz respeito à qualidade de vida

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Conflict of interest statement

Conflict of interests: None

Figures

Figure 1
Figure 1. Work activities at the time of surgery.
Figure 2
Figure 2. Surgical technique employed.
Figure 3
Figure 3. Age groups of patients undergoing two hernia correction techniques.
Figure 4
Figure 4. Boxplot of age groups.
Figure 5
Figure 5. Education level of the studied population.
Figure 6
Figure 6. Type of activity at the time of surgery.
Figure 7
Figure 7. Priority of treatment.
Figure 8
Figure 8. Comorbidities in the group undergoing the Lichtenstein technique.
Figure 9
Figure 9. Comorbidities in the group undergoing the TAPP technique.
Figure 10
Figure 10. Average reported pain for each type of technique employed.
Figure 11
Figure 11. Average restrictions for each type of technique employed.
Figure 12
Figure 12. Average esthetic satisfaction for each type of surgery.
See this image and copyright information in PMC

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