Patient reported outcomes after incisional hernia repair-establishing the ventral hernia recurrence inventory

American Journal of Surgery
Rebeccah B BaucomBenjamin K Poulose

Abstract

Assessing incisional hernia recurrence typically requires a clinical encounter. We sought to determine if patient-reported outcomes (PROs) could detect long-term recurrence. Adult patients 1 to 5 years after incisional hernia repair were prospectively asked about recurrence, bulge, and pain at the original repair site. Using dynamic abdominal sonography for hernia to detect recurrence, performance of each PRO was determined. Multivariable regression was used to evaluate PRO association with recurrence. Fifty-two patients enrolled with follow-up time 46 ± 13 months. A patient-reported bulge was 85% sensitive, and 81% specific to detect recurrence. Patients reporting no bulge and no pain had 0% chance of recurrence. In multivariable analysis, patients reporting a bulge were 18 times more likely to have a recurrence than those without (95% confidence interval, 3.7 to 90.0; P < .001). This preliminary study demonstrates that PROs offer a promising means of detecting long-term recurrence after incisional hernia repair, which can help facilitate quality improvement and research efforts.

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Citations

Mar 5, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B K PouloseM J Rosen
Oct 25, 2016·Journal of the American College of Surgeons·Nishant Ganesh KumarBenjamin K Poulose
Jan 13, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L F KroeseJ F Lange
Aug 26, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L TastaldiM J Rosen
May 9, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Christopher G YheulonSteven S Davis
Jun 9, 2017·Annals of Surgery·Ferdinand KöckerlingReinhard Bittner
Jun 25, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jonas RaakowRoland Raakow
Oct 27, 2018·Surgical Endoscopy·Juliann E ChoMatthew I Goldblatt
Jan 24, 2020·The British Journal of Surgery·M W ChristoffersenT Bisgaard
Jan 14, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S J ZolinD M Krpata
Apr 21, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ivy N Haskins, Arielle J Perez
Jun 27, 2020·Plastic and Reconstructive Surgery·Shervin A EtemadBenjamin K Poulose
Aug 7, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T-H J LeeG J Gibeily
Nov 16, 2018·Surgical Endoscopy·Nadine van VeenendaalH Jaap Bonjer
Apr 12, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F KöckerlingK Emmanuel
Jul 17, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H HoffmannP Kirchhoff
Mar 14, 2019·Surgical Endoscopy·Atakan Görkem BarutcuJonas Raakow
Aug 31, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J RaakowM Kilian
May 31, 2019·Journal of Robotic Surgery·Fahri GokcalOmar Yusef Kudsi
Mar 13, 2019·World Journal of Surgery·Rudolf SchrittwieserAlexander H Petter-Puchner
Jul 31, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L TastaldiB K Poulose
Oct 20, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A Gram-HanssenJ Rosenberg
Oct 20, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F KöckerlingC Schug-Pass
Nov 5, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Omar Yusef KudsiFahri Gokcal
Nov 21, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Omar Yusef KudsiDemetrius Litwin
Jan 7, 2021·Revista do Colégio Brasileiro de Cirurgiões·Renato Miranda DE MeloLiliana Borges DE Menezes
May 15, 2018·The Surgical Clinics of North America·Michael J Rosen
Jul 22, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K C MontelioneM J Rosen
Aug 3, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N van VeenendaalH J Bonjer

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