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World Journal of Surgery

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01-05-2017 | Original Scientific Report

A Prospective Assessment of Clinical and Patient-Reported Outcomes of Initial Non-Operative Management of Ventral Hernias

Authors: Julie L. Holihan, Juan R. Flores-Gonzalez, Jiandi Mo, Tien C. Ko, Lillian S. Kao, Mike K. Liang

Published in: World Journal of Surgery | Issue 5/2017

Abstract

Background

Little is known about the clinical or patient-reported outcomes with non-operative management of ventral hernias. The aim of this prospective study is to determine the clinical and patient-reported outcomes of patients undergoing initial non-operative treatment of their ventral hernia.

Study design

This was a prospective observational study of patients undergoing non-operative management of ventral hernias. Primary outcome was rate of surgical repair of the ventral hernias. Secondary outcomes included rate of emergency repair, elective repair, and emergency room visits. In addition, validated measurement tools for patient satisfaction and cosmetic satisfaction with their abdomen, abdominal pain, and patient function (modified Activities Assessment Scale, AAS) were utilized.

Results

Of 128 patients who underwent non-operative management of a ventral hernia, 99(77.3%) patients were followed for a median (interquartile range) of 12.2(10.4–13.5) months. Twenty (20.2%) patients had at least 1 emergency room visit associated with their hernia. One-quarter (n = 2323.2%) underwent ventral hernia repair following enrollment. Twenty (20.2%) underwent elective repair, and 3 (3.0%) underwent emergent repair. Based on the modified AAS survey, patients who were managed non-operatively experienced no change in patient centered outcomes, while patients converted to operative management had improved scores.

Conclusions and relevance

While the short-term risk of emergency surgery with non-operative management of ventral hernias is moderate, the chance of an emergency room visit and surgery is high. Patients who undergo non-operative management of their ventral hernias have no change in patient-reported outcomes at one year, while those converted to operative management experience improvement.

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Title: A Prospective Assessment of Clinical and Patient-Reported Outcomes of Initial Non-Operative Management of Ventral Hernias
Authors: Julie L. Holihan
Juan R. Flores-Gonzalez
Jiandi Mo
Tien C. Ko
Lillian S. Kao
Mike K. Liang
Publication date: 01-05-2017
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 5/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-016-3859-5

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A Prospective Assessment of Clinical and Patient-Reported Outcomes of Initial Non-Operative Management of Ventral Hernias

Abstract

Background

Study design

Results

Conclusions and relevance

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Study design

Results

Conclusions and relevance

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