Park Eugene, Cheesborough Jennifer E, Souza Jason M, Dumanian Gregory A
Division of Plastic Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Division of Plastic Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Am J Surg. 2017 Jan;213(1):58-63. doi: 10.1016/j.amjsurg.2016.05.011. Epub 2016 Jun 18.
The Patient-Reported Outcomes Measurement Information System was used to evaluate the effects of open incisional ventral hernia repair on hernia-related pain.
All patients who underwent elective repair of a primary or recurrent midline incisional hernia over a 3-year period completed Patient-Reported Outcomes Measurement Information System pain surveys and rated their pain intensity on a visual analogue scale. A retrospective review of these patients was performed.
Seventy-seven patients underwent midline incisional ventral hernia repair and completed preoperative and postoperative surveys. Thirty-eight patients completed surveys at least 6 months after surgery. These patients demonstrated significant improvement in pain interference postoperatively (P < .05) but not in pain behavior. Patients with higher pain intensity scores preoperatively had greater improvements in pain behavior and pain interference postoperatively.
Patients with incisional ventral hernias have improvement in pain interference 6 months after open surgical repair. Changes are most pronounced in patients who experience higher magnitudes of pain preoperatively.
采用患者报告结局测量信息系统评估开放性切口疝修补术对疝相关疼痛的影响。
对在3年期间接受择期原发性或复发性中线切口疝修补术的所有患者进行患者报告结局测量信息系统疼痛调查，并采用视觉模拟评分法对其疼痛强度进行评分。对这些患者进行回顾性分析。
77例患者接受了中线切口疝修补术，并完成了术前和术后调查。38例患者在术后至少6个月完成了调查。这些患者术后疼痛干扰有显著改善（P < 0.05），但疼痛行为无改善。术前疼痛强度评分较高的患者术后疼痛行为和疼痛干扰改善更大。
开放性手术修补术后6个月，切口疝患者的疼痛干扰有所改善。术前疼痛程度较高的患者变化最为明显。
