Affiliation:
1. Department of General Surgery Hospital Sultanah Aminah, Ministry of Health Malaysia Johor Bahru Malaysia
2. Department of General Surgery Hospital Umum Sarawak, Ministry of Health Malaysia Kuching Malaysia
3. Department of Surgery Taylor's University School of Medicine Subang Jaya Malaysia
4. Department of Surgery, Faculty of Medicine and Health Sciences Universiti Malaysia Sarawak Kota Samarahan Malaysia
5. Clinical Research Centre, Hospital Umum Sarawak, Ministry of Health Malaysia Kuching Malaysia
Abstract
AbstractBackgroundLaparoscopic totally extraperitoneal (TEP) inguinal hernia repair has become increasingly favored over open Lichtenstein tension‐free mesh repair owing to its associated benefits, including reduced postoperative pain, early return to normal activities, and a comparable recurrence rate. In recent years, emphasis has been placed on patient‐reported outcomes, particularly health‐related quality of life (QOL), as a critical metric for evaluating surgical success. This study aimed to evaluate the overall QOL following laparoscopic TEP repair of unilateral inguinal hernia.MethodsThis prospective study enrolled patients aged 18 years or older who underwent elective laparoscopic TEP hernia repair for unilateral inguinal hernia from April 2020 to March 2022. Data collected include demographic details, hernia characteristics, postoperative complications, and postoperative QOL assessment. The Short Form 36 Health Survey Version 2 (SF‐36v2), a validated general QoL questionnaire, was administered preoperatively and at 1 month, 6 months, and 1 year postoperatively. Statistical analysis utilized paired t‐tests for comparisons, with significance set at a p‐value <.05.ResultsA cohort of 49 patients, with a mean (standard deviation) age of 56.7 (14.0) years, predominantly comprising 47 men, was available for evaluation. Complications were observed in three (6.1%) of cases, with seroma/hematoma occurring in two patients and a wound infection necessitating antibiotic treatment in one patient. Notably, there were no instances of recurrence during the study period. Postoperative assessments revealed significant improvements in both physical and mental health at 1 month, with continued improvement noted up to 12 months.ConclusionLaparoscopic TEP inguinal hernia repair has been shown to improve both physical and mental health in patients with unilateral reducible inguinal hernia, with the majority of the improvement typically occurring within the initial month following surgery. It is crucial to communicate these improvement trends to patients undergoing hernia repair to help manage their expectations effectively.