Aim: To evaluate the outcomes and QOL in patients undergoing component separation technique for ventral hernia. Material and Methods: The present prospective study was conducted among 20 patients aged 18 to 60 years presenting to OPD/Emergency of Department of Surgery, Government Medical College, Jammu with complaints of ventral wall hernia with defect size of greater than 6 cm. The detailed history, clinical examination, relevant investigations were done prior to surgery. The patients were operated under general anesthesia after assessment by anesthetist and obtaining a detailed informed written consent. Perioperative complications, including surgical site occurrences (SSO) (seroma, wound infection, wound hematoma, and skin necrosis), reoperation, and mortality related to surgery during the first postoperative month were recorded. After hospital discharge, patients were during the hospital stay as well as 3 months after discharge. Recurrence was evaluated by clinical examination; and in case of doubt, an ultrasound or computed tomography was indicated. Carolinas Comfort Scale (CCS) scoring system was assessed. Results: Mean±SD of operative time (min) was 216.59±62.81 and mesh size (cm2) was 823.86±297.02. Mean ±SD value of hospital stays (in days) was 8.43±5.78. Mean ± SD value of pre and post operative pain was 2.53±1.17 & 2.88±0.93, movement limitation was 2.76±1.11 & 2.97 ±0.92 and overall quality of life was 2.65±1.04 & 2.69±0.98. Conclusion: While QOL is impacted by use of component separation and overall QOL improved significantly after ventral hernia repair when compared to preoperative QOL for component separation techniques studied. This reinforces the concept that ventral hernias should be repaired especially if the midline can be reapproximated as it may improve patient quality of life.
Impact Factor
2022: 6.012
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