Impact on quality of life following inguinal hernia repair under local anaesthetic in a primary care setting

Purpose Inguinal hernia repair remains one of the most common elective general surgical procedures. Previous studies have suggested high rates of chronic pain afterwards. The aim of this study was to evaluate changes in quality of life after local anaesthetic (LA) inguinal hernia surgery performed i...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2024-08, Vol.28 (4), p.1457-1460
Main Authors: Toi, T., Paduraru, M., Chotai, R., Pandya, A., Stolady, D., Lillig, K., Foster, J., Gismondi, M., Lewis, MPN
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Anesthesia, Local
Chronic pain
Female
Hernia
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Pain, Postoperative - etiology
Primary care
Primary Health Care
Quality of Life
Surgery
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Summary:Purpose Inguinal hernia repair remains one of the most common elective general surgical procedures. Previous studies have suggested high rates of chronic pain afterwards. The aim of this study was to evaluate changes in quality of life after local anaesthetic (LA) inguinal hernia surgery performed in a primary care setting. Methods Quality of life (QoL) was measured in all patients both pre-operatively and at 6-months post-operatively using the European Hernia Society Scoring tool. Data was analysed by tertile grouping according to initial symptom score. Results 497 patients filled out pre-operative QoL forms between June 2020 and May 2022. Post-operative QoL scores were received from 179 patients (164 male (91.6%)). Median pre-operative score was 33 (IQR 20–48). Median post-operative score was 4 (IQR 1–11). Mean improvement in QoL score was 27.8. Nine patients had a worse score at 6-months compared to pre-op (5%). When the data was analysed by pre-op QoL group as expected the low symptom group (score 0–10) had minimal improvement in QoL (0.23) and 5 out of 13 patients (38%) had a worse score. The medium group (score 11–40) had a mean improvement in QoL of 17.25 with 3 out of 92 (3.2%) experiencing a worse score. The high symptom group (score 41–90) had a mean improvement in QoL of 45.4 with only 1 of 76 (1.3%) experiencing a worse score. Conclusions LA Inguinal hernia repair improves QoL substantially 6-months after surgery. However, in those patients with low pre-operative scores (
ISSN:1248-9204
1265-4906
1248-9204
DOI:10.1007/s10029-024-03085-x