Comparison of Predictive Validity of Alvarado Score and Appendicitis Inflammatory Response (AIR) Score, A Hospital Based Observational Study

Abstract

Introduction: Studies on post-operative quality of life in Indian patients undergoing laparoscopic ventral hernia repair are scarce. In recent times, the focus of the surgical outcomes is taking a paradigm shift from traditional and surgeon centered approach of post-operative complications, recurrence rates etc. towards patient centered outcomes like quality of life. Hence the current study has been conducted to assess the quality of life of patients undergoing laparoscopic ventral hernia repair, using Hernia-Related Quality-of-Life Survey (HerQLes) in a tertiary care teaching hospital. Materials & methods: The study was a prospective observational study, conducted in Rajiv Gandhi institute of medical sciences, a tertiary care teaching hospital in South India on 27 subjects, who underwent ventral hernia repair. Data related to quality of life was collected using a structured and validated instrument, Hernia-Related Quality-of-Life Survey (HerQLes), propsed by Krpata, D. M., et al. Results: The improvement in mean Hernia-Related Quality-of-Life Survey (HerQLes) at 1 week after surgery was only 1.9 (-8.18 to 11.98, P value 0.967), which was statistically significant. When compared to preoperative score, there was 13.50 units increase in mean HerQLes at 1 month (3.41 to 23.58, p value 0.003), and this improvement was 22.60 units (12.51 to 32.68, p value < 0.001) at 6 months after surgery. The improvement in mean HerQLes at 1 month and 6 months were statistically significant. Conclusions: Laparoscopic ventral hernia repair has led to significant improvement in quality of life at 1 month and 6 months after surgery, when compared with pre-operative quality of life. Even within the post-operative period, there is gradual improvement in quality of life at different follow up periods.

Authors and Affiliations

Venkaiah. Madasi

Keywords

Related Articles

Liver injuries- a tertiary rural medical college hospital experience

Background: Liver is the most frequently injured solid intra abdominal organ in abdominal trauma. Exsanguination is the main cause of death due to liver trauma. Although non-operative management of hepatic trauma has bee...

A Comparative study of efficacy of Thiocolchicoside with Diclofenac vs Eperisone with Diclofenac in patients with back pain

Background: A number of drugs are available for the treatment of Low back pain (LBP) as per the available literature. This study was undertaken to compare the efficacy of Thiocolchicoside– diclofenac and Eperisone – dicl...

Comparitive study between stretching exercises and corticosteroid injection in treatment of patients with plantar fasciitis

Introduction: Plantar fasciitis is the commonnest cause of heel pain. Its cause is uncertain so as there is a lot of treatment methods for it. Our study compares the outcome of two common treatment modaliy known as local...

An epidemiological study to calculate angle between transepicondylar axis and posterior condylar axis of distal femur on MRI in Indian population

Introduction: Rotational positioning of femoral component is a critical aspect of total knee arthroplasty and evaluation of the landmark for rotation of distal femur is a challenge. Most Orthopaedic Surgeons prefer to us...

Comparison of Predictive Validity of Alvarado Score and Appendicitis Inflammatory Response (AIR) Score, A Hospital Based Observational Study

Introduction: Studies on post-operative quality of life in Indian patients undergoing laparoscopic ventral hernia repair are scarce. In recent times, the focus of the surgical outcomes is taking a paradigm shift from tra...

Download PDF file
  • EP ID EP227306
  • DOI 10.17511
  • Views 188
  • Downloads 0

How To Cite

Venkaiah. Madasi (2016). Comparison of Predictive Validity of Alvarado Score and Appendicitis Inflammatory Response (AIR) Score, A Hospital Based Observational Study. Surgical Update: International Journal of Surgery and Orthopedics, 2(4), 29-35. https://europub.co.uk/articles/-A-227306