title: Laparoscopic Totally Extraperitoneal Groin Hernia Repair and Quality of Life at 2-Year Follow-Up.
abstract: The lack of long-term data on quality of life after groin hernia repair presents a challenge in setting patients' postoperative expectations. This study aimed to describe quality of life outcomes after laparoscopic totally extraperitoneal groin hernia repair with a minimum of 2 years follow-up.
  
  
  
  We prospectively evaluated 293 patients who had laparoscopic totally extraperitoneal groin hernia repair in an IRB-approved study. The Short-Form 36-item Health Survey (version 2), Surgical Outcomes Measurement System, and Carolinas Comfort Scale were administered pre- and postoperatively. Pairwise comparisons using nonparametric Wilcoxon signed rank test were made between time points.
  
  
  
  Mean patient age was 56 ± 15 years and 93% were male; 80% of patients presented with painful hernias and 15% of hernias were recurrent. Mean operative time was 43 ± 16 minutes. No operative complications occurred. Mean duration of narcotic pain medication use was 2.5 ± 3.4 days, and daily activities were resumed and return to work occurred 5.4 ± 4.4 days and 5.4 ± 3.9 days post operation, respectively. Recurrence rate was 2%. The Short-Form 36-item Health Survey outcomes improved from baseline for domains of Physical Functioning, Role Limitations due to Physical Health, and Pain at 2 years post operation; Surgical Outcomes Measurement System outcomes improved for domains of Pain Impact on Quality of Life, Body Image, and Patient Satisfaction (p ≤ 0.05). The percentage of patients reporting no or mild but not bothersome symptoms on the Carolinas Comfort Scale at 2 years post operation for sensation of mesh, pain, and movement limitations were 98%, 95%, and 97%, respectively.
  
  
  
  Measuring both general and procedure-specific quality of life, patients' perceptions of health status improved significantly 2 years after laparoscopic totally extraperitoneal groin hernia repair.
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
authors.forename: Matthew E
authors.initials: ME
authors.lastname: Gitelis
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
authors.forename: Lava
authors.initials: L
authors.lastname: Patel
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
authors.forename: Francis
authors.initials: F
authors.lastname: Deasis
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
authors.forename: Ray
authors.initials: R
authors.lastname: Joehl
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
authors.forename: Brittany
authors.initials: B
authors.lastname: Lapin
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
authors.forename: John
authors.initials: J
authors.lastname: Linn
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
authors.forename: Stephen
authors.initials: S
authors.lastname: Haggerty
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
authors.forename: Woody
authors.initials: W
authors.lastname: Denham
authors.affiliation: Section of Minimally Invasive Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, IL. Electronic address: mujiki@northshore.org.
authors.forename: Michael B
authors.initials: MB
authors.lastname: Ujiki
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006305:Health Status Indicators; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010537:Peritoneum; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome