Evaluation of Long-Term Outcome and Patient Satisfaction after Inguinal Hernia Repair

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  • 鼠径部ヘルニア術後長期成績と患者満足度の検討

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<p>Purpose: Medical check-ups after inguinal hernia repair are often conducted only once, and follow-up is not enough. We investigated the long-term outcome and patient satisfaction using a questionnaire, and aimed to establish the optimal follow-up method after inguinal hernia repair. Materials and Methods: Between January 2008 and December 2016, 1,936 patients underwent a total of 2,160 cases of inguinal hernia repair at our hospital. We retrospectively reviewed the medical records and mailed a questionnaire. The questionnaire consisted of six parts, including pain (often, sometimes, none), numbness (often, sometimes, none), discomfort (often, sometimes, none), satisfaction (satisfied, neither, dissatisfied), groin swelling (yes, no) and patient desire for additional examinations (yes, no). Result: The responding rate was 77.1% (1,325/1,718 patients). Among the 1,325 patients, 16% reported pain (often; 3% and sometimes; 13%), 5% reported numbness (often; 1% and sometimes; 4%), and 24% reported feeling uncomfortable (often; 5% and sometimes; 19%). With regards to satisfaction, 89% were satisfied. The difference in satisfaction level between patients with seroma and those without was not significant, but patients with recurrence, bleeding, infection, or chronic pain, were found to be significantly less satisfied than those without. Ninety-one patients (6.9%) reported swelling in the operated groin. Among the 91 patients, 65 patients (71%) were examined, and 11 patients (17%) had recurrence. Furthermore, 149 patients (11%) expressed desire to have additional examination. Among the 149 patients, 119 patients were examined and 5 patients (4.2%) had recurrence. One patient had received surgery for recurrent inguinal hernia at another hospital. We identified 44 recurrences before questionnaires were distributed, and another 11 patients had recurrence after questionnaires were distributed. The main reason for wanting additional examinations was to dispel anxiety. Conclusion: Surgeons should explain these results to patients before inguinal hernia repair. In addition, it is necessary to explain to the patient to visit a hospital whenever they feel the need for further examinations after inguinal hernia repair.</p>

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