Content area
Full Text
Surg Endosc (2016) 30:51655172 DOI 10.1007/s00464-016-4863-4
http://crossmark.crossref.org/dialog/?doi=10.1007/s00464-016-4863-4&domain=pdf
Web End = http://crossmark.crossref.org/dialog/?doi=10.1007/s00464-016-4863-4&domain=pdf
Web End = REVIEW
Convalescence after laparoscopic inguinal hernia repair: a qualitative systematic review
Mette Astrup Tolver1 Jacob Rosenberg1 Thue Bisgaard2
Received: 21 August 2015 / Accepted: 8 March 2016 / Published online: 8 April 2016 Springer Science+Business Media New York 2016
AbstractBackground Duration of convalescence after inguinal hernia repair is of major socio-economic interest and an often reported outcome measure. The primary aim was to perform a critical analysis of duration of convalescence from work and activity and secondary to identify risk factors for unexpected prolonged convalescence after laparoscopic inguinal hernia repair.
Methods A qualitative systematic review was conducted. PubMed, Embase and the Cochrane database were searched for trials reporting convalescence after laparoscopic inguinal hernia repair in the period from January 1990 to January 2016. Furthermore, snowball search was performed in reference lists of identied articles. Randomized controlled trials and prospective comparative or non-comparative trials of high quality were included. Trials with C100 patients, [18 years of age and manuscripts in English were included.
Scoring systems were used for assessment of quality.
Results The literature search identied 1039 papers. Thirty-four trials were included in the nal review including 14,273 patients. There was overall a large variation in duration of convalescence. Trials using non-restrictive recommendations of 12 days or as soon as possible to return to all activities reported overall a shorter duration of convalescence compared with trials not using recommendations for convalescence. Strenuous physical activity at work, strenuous leisure activity and
patients with expectations of a prolonged period of convalescence may be risk factors for prolonged convalescence extending more than a few days after laparoscopic inguinal hernia repair.
Conclusions Patients should be recommended a duration of 12 days of convalescence after laparoscopic inguinal hernia repair. Short and non-restrictive recommendations may reduce duration of convalescence without increasing risk of pain, complications or recurrence rate.
Keywords Convalescence Risk factor TAPP TEP
Laparoscopic inguinal hernia repair
Surgical repairs of inguinal hernia are performed frequently, and patients are often in their working age [1]. Thus, duration ofconvalescenceafteringuinalherniarepairisofmajorsocioeconomicinterest.Also,durationofconvalescenceinpatients undergoing inguinal hernia repair is often an outcome in randomized clinical trials investigating interventions to improve quality of surgical treatment. Duration of convalescence may depend on factors related to...