Long-term Quality of Life and Chronic Pain after Inguinal Hernia Repair in Women

Raphael N Vuille-dit-Bille, Lukas Fink, Svenja Leu, Christopher Soll, Peter Villiger and Ralph F Staerkle

Department of Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
Department of Mathematics, Cantonal School of Wil, St. Gallen, Switzerland
Department of Surgery, Cantonal Hospital Chur, Chur, Switzerland

^*Correspondance to: Ralph Staerkle 

 PDF  Full Text DOI: 10.25107/2474-1647.2007

Abstract

Background: Groin hernias in women are rare and most published studies only assess different operation techniques and the associated recurrence rates. Information about chronic postoperative pain and quality of life following groin hernia repair in women is sparse.Methods: In total, 24 female patients following groin hernia repair were included in this prospective study. Median follow-up was 6.25 years. The Core Outcome Measure Index (COMI) hernia questionnaire was used to assess quality of life and chronic postoperative pain.Results: The COMI-hernia total score and COMI-hernia pain score both decreased significantly after surgery (p=0.00018 and p=0.0095, respectively). Both scores correlated with patients’ satisfaction. High preoperative COMI-hernia total score and low American Society of Anaesthesiologists (ASA) score were identified as risk factors for an adverse outcome after surgery. Similarly, low ASA score was shown as a risk factor for postoperative high COMI-hernia pain score.Conclusions: Risk factors for adverse outcome after groin hernia repair seem to be different between males and females. Patient’s fitness prior to surgery seems to inversely correlate with outcome after groin hernia repair in females.

Keywords

Inguinal hernia repair; Quality assessment; Quality of life; Chronic pain; Core outcome measure index; Patient satisfaction

Cite the article

Vuille-dit-Bille RN, Fink L, Leu S, Soll C, Villiger P, Staerkle RF. Long-term Quality of Life and Chronic Pain after Inguinal Hernia Repair in Women. Clin Surg. 2018; 3: 2007.