Quality of Life Following Laparoscopic Inguinal
Herniorrhaphy
Holéczy P.1, Biath, P.2, Černý, M.2, Mikulášová, L.2, Mrázek,T.1
1Chirurgické oddělení Nemocnice Ostrava-Jih, Centrum péče o zažívací trakt, Ostrava-Zábřeh, primář doc. MUDr. Pavol Holéczy, CSc. 2Chirurgické oddelenie Železničnej NsP Bratislava, primár MUDr. Ján Nemessányi |
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Summary:
Objective: To report about results of control examination
and assessment of quality of life after laparoscopic inguinal
hernia repair.
Material and Methods: The questionnaire was sent to
542 patients operated on in the time from August 1993 to
the end of October 2003 and they were asked to come to
control examination. Personally nearly 44% of patients
were reviewed, nearly 20% of patients sent only the questionnaire,
0,55% of patients died from another reasons,
in 1,85% cases the address was not valid. This way about
66% of operated patients were reviewed.
Results: Interesting results were found in the length of
work off period and in the interval from the operation to
full physical activity. Both intervals were longer as expected.
The influencing factors are discussed. Up to 90% of
patients were satisfied with the operation and in the case
of necessity they should underwent this type of surgery
again. Recurrence was seen in 3,7%. The reasons of
recurrences and additional factors are discussed, as well.
Conclusion: Laparoscopic herniorrhaphy became standard
procedure in the surgical treatment of inguinal hernia.
From our experience point of view it offers to the
patients sufficient comfort. For motivated patients it
represents shorter work off time and shorter interval to
full physical activity, as well. Recurrence rate in presented
group is acceptable. The economic aspect of these
operations remains a problem in Slovakia. The situation
in the Czech Republic is quite different.
Key words:
laparoscopy ,inguinal hernia, herniorrhaphy
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