Evaluation of the quality of life after implantation of light or standard polypropylene hernia meshes

Abstract Introduction: The present pilot study evaluates the quality of life of Bulgarian patients after a conventional hernia operation in which light or standard polypropylene hernia meshes were used. Materials and methods: Sixty-eight patients planned for...

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Main Authors: Miglena Doneva, Maria Kamusheva, Guenka Petrova, Stoyan Sopotensky, Nikolay Gerasimov
Format: Article
Language:English
Published: Pensoft Publishers 2022-06-01
Series:Folia Medica
Online Access:https://foliamedica.bg/article/65709/download/pdf/
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author Miglena Doneva
Maria Kamusheva
Guenka Petrova
Stoyan Sopotensky
Nikolay Gerasimov
author_facet Miglena Doneva
Maria Kamusheva
Guenka Petrova
Stoyan Sopotensky
Nikolay Gerasimov
author_sort Miglena Doneva
collection DOAJ
description Abstract Introduction: The present pilot study evaluates the quality of life of Bulgarian patients after a conventional hernia operation in which light or standard polypropylene hernia meshes were used. Materials and methods: Sixty-eight patients planned for recovery of primary or recurrent open hernia with implanted standard or lightweight polypropylene meshes were included in the study. Patients’ data were collected prospectively for a 5-month period (October 2017 - February 2018) on the basis of the case histories. The patients were interviewed using the EQ5D questionnaire and a visual analogue scale. Follow-up of each patient’s results was performed up to a year after surgery. Results: Three months after the operation, the patients reported only the presence of pain. On average, 24.5% of patients experienced mild pain and 20.3% - severe pain. In the standard mesh group, on average, the mild pain was 7.69%, swelling 3.84%, and foreign body sensation - 15.38% one year after the surgery. In the light mesh group the reported mild pain was 6.69%, pulling without pain - 13.33%, and foreign body sensation - 6.69%. There was no statistically significant difference in the pain level according to the used mesh, but in the group with implanted standard meshes, the reported problems prevailed. At the end of the survey period, the average score was 84.39±13.67. Conclusions: Hernia operation reduces pain 1 year after the procedure. The intensity of chronic pain one year after the surgery is relatively similar for both light and standard meshes in conventional inguinal hernia repair. The differences in the overall quality of life are insignificant in the long run. An individualized choice, based on the patients’ characteristics and safety of meshes, should be done by the healthcare specialists.
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spelling doaj.art-d9b022a2c32646d2ab52d6f6671a93262022-12-22T00:21:28ZengPensoft PublishersFolia Medica1314-21432022-06-0164345946610.3897/folmed.64.e6570965709Evaluation of the quality of life after implantation of light or standard polypropylene hernia meshesMiglena Doneva0Maria Kamusheva1Guenka Petrova2Stoyan Sopotensky3Nikolay Gerasimov4Medical University of SofiaMedical University of SofiaMedical University of SofiaSt Sofia HospitalTrakia UniversityAbstract Introduction: The present pilot study evaluates the quality of life of Bulgarian patients after a conventional hernia operation in which light or standard polypropylene hernia meshes were used. Materials and methods: Sixty-eight patients planned for recovery of primary or recurrent open hernia with implanted standard or lightweight polypropylene meshes were included in the study. Patients’ data were collected prospectively for a 5-month period (October 2017 - February 2018) on the basis of the case histories. The patients were interviewed using the EQ5D questionnaire and a visual analogue scale. Follow-up of each patient’s results was performed up to a year after surgery. Results: Three months after the operation, the patients reported only the presence of pain. On average, 24.5% of patients experienced mild pain and 20.3% - severe pain. In the standard mesh group, on average, the mild pain was 7.69%, swelling 3.84%, and foreign body sensation - 15.38% one year after the surgery. In the light mesh group the reported mild pain was 6.69%, pulling without pain - 13.33%, and foreign body sensation - 6.69%. There was no statistically significant difference in the pain level according to the used mesh, but in the group with implanted standard meshes, the reported problems prevailed. At the end of the survey period, the average score was 84.39±13.67. Conclusions: Hernia operation reduces pain 1 year after the procedure. The intensity of chronic pain one year after the surgery is relatively similar for both light and standard meshes in conventional inguinal hernia repair. The differences in the overall quality of life are insignificant in the long run. An individualized choice, based on the patients’ characteristics and safety of meshes, should be done by the healthcare specialists.https://foliamedica.bg/article/65709/download/pdf/
spellingShingle Miglena Doneva
Maria Kamusheva
Guenka Petrova
Stoyan Sopotensky
Nikolay Gerasimov
Evaluation of the quality of life after implantation of light or standard polypropylene hernia meshes
Folia Medica
title Evaluation of the quality of life after implantation of light or standard polypropylene hernia meshes
title_full Evaluation of the quality of life after implantation of light or standard polypropylene hernia meshes
title_fullStr Evaluation of the quality of life after implantation of light or standard polypropylene hernia meshes
title_full_unstemmed Evaluation of the quality of life after implantation of light or standard polypropylene hernia meshes
title_short Evaluation of the quality of life after implantation of light or standard polypropylene hernia meshes
title_sort evaluation of the quality of life after implantation of light or standard polypropylene hernia meshes
url https://foliamedica.bg/article/65709/download/pdf/
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AT stoyansopotensky evaluationofthequalityoflifeafterimplantationoflightorstandardpolypropyleneherniameshes
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