Back to Search
Start Over
Long-term outcome study in patients with abdominal wound dehiscence: a comparative study on quality of life, body image, and incisional hernia.
- Source :
-
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract [J Gastrointest Surg] 2013 Aug; Vol. 17 (8), pp. 1477-84. Date of Electronic Publication: 2013 May 29. - Publication Year :
- 2013
-
Abstract
- Objective: Long-term quality of life and body image of patients with abdominal wound dehiscence were assessed.<br />Methods: Thirty-seven patients with abdominal wound dehiscence from a prospectively followed cohort of 967 patients (2007-2009) were reviewed. Patients completed the Short Form 36 quality of life questionnaire and Body Image Questionnaire and participated in semi-structured telephone interviews. For each patient, four controls were matched by age and gender. Analyses were adjusted for age, gender, comorbidity, and follow-up length.<br />Results: Of the 37 patients with abdominal wound dehiscence, 23 were alive after a mean follow-up of 40 months (range 33-49 months). Nineteen patients developed incisional hernias (83 %). Patients with abdominal wound dehiscence reported significantly lower scores for physical and mental component summaries (p = 0.038, p = 0.013), general health (p = 0.003), mental health (p = 0.011), social functioning (p = 0.002), and change (p = 0.034). No differences were found for physical functioning (p = 0.072), role physical (p = 0.361), bodily pain (p = 0.133), vitality (p = 0.150), and role emotional (p = 0.138). Patients with abdominal wound dehiscence reported lower body image scores (median 16.5 vs. 18, p = 0.087), cosmetic scores (median 13 vs. 16, p = 0.047), and total body image scores (median 30 vs. 34, p = 0.042).<br />Conclusions: At long-term follow-up, patients with abdominal wound dehiscence demonstrated a high incidence of incisional hernia, low body image, and low quality of life.
- Subjects :
- Abdomen surgery
Aged
Case-Control Studies
Female
Follow-Up Studies
Health Status
Hernia, Abdominal surgery
Humans
Interviews as Topic
Male
Mental Health
Middle Aged
Prospective Studies
Recurrence
Social Participation
Surgical Wound Dehiscence economics
Surgical Wound Dehiscence psychology
Surveys and Questionnaires
Time Factors
Body Image psychology
Hernia, Abdominal etiology
Quality of Life
Surgical Wound Dehiscence complications
Subjects
Details
- Language :
- English
- ISSN :
- 1873-4626
- Volume :
- 17
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
- Publication Type :
- Academic Journal
- Accession number :
- 23715648
- Full Text :
- https://doi.org/10.1007/s11605-013-2233-2