Department of Psychology, Vanderbilt University, Nashville, TN.
Center for Abdominal Core Health, Department of Surgery, Division of General and Gastrointestinal Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
Surgery. 2022 Apr;171(4):994-999. doi: 10.1016/j.surg.2021.09.022. Epub 2021 Nov 10.
To explore the thoughts, feelings, and experiences of patients with mesh-related complications after hernia repair. The rate of long-term mesh-related complications requiring procedural intervention after abdominal core surgery, including hernia repair, is unknown. Determining this rate is challenging due to its anticipated low chance of occuring and historically poor systematic long-term follow-up in patients' hernia repair. The lived experience of these patients is also not well understood.
Purposive sampling was used to identify patients who have experienced mesh-related complications after hernia repair, and semistructured interviews were conducted. Descriptive thematic analysis was used to identify, analyze, and report common patterns across the data set related to the patient experience of mesh-related complications.
Eight patients who had undergone a hernia repair with mesh and had at least 1 mesh-related complication after their repair requiring operation, an additional procedure, or medical treatment were included in the study and completed semistructured interviews over the phone. Five domains emerged from the interviews: indicators of mesh-related complications, knowledge of potential surgical complications, relationship/satisfcation with surgeon and/or surgical team, psychosocial impact of hernia repair and mesh-related complications, and function.
Despite the widespread use of mesh in abdominal wall operations, little is known regarding the patient experience of mesh-related complications. The themes identified in the present study provide insight into the patient experience of mesh-related complications and can inform the future development of a patient-reported outcome measure to determine the true incidence of mesh-related complications and the impact of these complications on quality of life.
探讨疝修补术后发生网片相关并发症患者的想法、感受和经历。腹部核心手术后（包括疝修补术）长期需要手术干预的网片相关并发症的发生率尚不清楚。由于预期发生率低且历史上对疝修补患者的系统长期随访不佳，因此确定这一发生率具有挑战性。这些患者的生活经历也了解甚少。
采用目的抽样法确定经历过疝修补术后网片相关并发症的患者，并进行半结构式访谈。采用描述性主题分析来识别、分析和报告与患者对网片相关并发症的体验相关的数据集内常见模式。
本研究纳入了 8 名接受过疝修补术且网片相关并发症至少 1 次，需要手术、额外手术或药物治疗的患者，并通过电话完成了半结构式访谈。访谈中出现了 5 个主题领域：网片相关并发症的指标、潜在手术并发症的知识、与外科医生和/或外科团队的关系/满意度、疝修补术和网片相关并发症的心理社会影响以及功能。
尽管网片在腹壁手术中广泛应用，但对患者网片相关并发症的体验知之甚少。本研究确定的主题提供了对患者网片相关并发症体验的深入了解，并可以为未来开发患者报告结局测量工具提供信息，以确定网片相关并发症的真实发生率以及这些并发症对生活质量的影响。
