Assessment of quality of life using EuraHS-QoL score and postoperative outcome measures following endoscopic video-assisted component separation with laparoscopic intraperitoneal onlay mesh repair in large midline ventral hernia repair

Abstract

OBJECTIVE: This study aimed to assess the quality of life using the EuraHS-quality-of-life (QoL) score and postoperative outcome measures in patients undergoing endoscopic component separation technique with laparoscopic intraperitoneal onlay mesh repair in large (>5 cm) midline ventral hernia mesh placement and to compare EuraHS-QoL score with the currently available hernia-related QoL score—Carolina Comfort Scale. MATERIALS AND METHODS: This was a single-center prospective observational study. A total of 60 patients were studied. Component separation index and abdominal wall strength score were calculated. The quality of life was assessed by EuraHS-QoL Score and Carolina Comfort Score. RESULTS: The mean abdominal wall strength score at 3 months postoperatively was 6.83 ± 0.87, and a P value of less than 0.001 was significant. The correlation between EuraHS-QoL score and Carolina Comfort Scale was assessed with respect to the pain domain and movement limitation/restriction domain using Spearman correlation, which showed a positive correlation. CONCLUSIONS: Endoscopic component separation technique with laparoscopic intraperitoneal onlay mesh repair is a safe procedure owing to its better postoperative and functional outcomes. The EuraHS-QoL score is superior to Carolina Comfort Scale as it is more user-friendly, accessible, detailed, and precise.

Keywords

• carolina comfort scale
• endoscopic component separation with mesh repair
• eurahs-quality-of-life score
• large midline ventral hernia
• quality-of-life assessment