Patient-reported outcomes after incisional hernia repair

Area of Science:

• Surgical outcomes research
• Patient-centered care

Background:

• Incisional hernia repair efficacy is debated, with patient-reported outcomes (PROs) crucial for evaluation.
• Optimal surgical techniques for incisional hernias remain under investigation.
• PROs can guide management decisions for incisional hernia patients.

Purpose of the Study:

• To assess long-term patient-reported outcomes (PROs) following incisional hernia repair.

Main Methods:

• A cohort study collected PROs from patients post-incisional hernia repair.
• Data included preoperative indications and postoperative symptoms (pain, discomfort, bulging).
• Patient satisfaction and Carolina Comfort Scales were utilized.

Main Results:

• 63% of 210 patients reported improved abdominal wall status at a median 3.2-year follow-up.
• 63% experienced postoperative symptoms like discomfort, pain, or bulging.
• 10% would not have chosen surgery in hindsight.

Conclusions:

• A majority of patients report persistent pain and symptoms 3 years after incisional hernia repair.
• Integrating patient expectations and PROs into preoperative counseling is essential.
• Improved decision-making in incisional hernia surgery requires better patient-provider communication regarding outcomes.