Determinants of a short convalescence after laparoscopic transabdominal preperitoneal inguinal hernia repair

Mette Astrup Tolver; Pernille Strandfelt; Gert Forsberg; Flemming Piil Hjørne; Jacob Rosenberg; Thue Bisgaard

doi:10.1016/j.surg.2011.08.020

Determinants of a short convalescence after laparoscopic transabdominal preperitoneal inguinal hernia repair

Mette Astrup Tolver, Pernille Strandfelt, Gert Forsberg, Flemming Piil Hjørne, Jacob Rosenberg, Thue Bisgaard

27 Citations (Scopus)

Abstract

Background: Evidence-based recommendations for the expected duration of convalescence after laparoscopic groin hernia repair are not available, and objective reasons for prolonged convalescence are not clear. Our main aim was to establish the expected duration of convalescence using preoperative recommendations to the patient and to identify the limiting factors for early (postoperative) resumption of normal activities after laparoscopic transabdominal preperitoneal inguinal herniorraphy (TAPP). Methods: This was a single-center prospective study. The intervention (the recommendation to the patient) was 1 day for convalescence. Several predefined factors were investigated for their influence on the duration of convalescence and the risk of early postoperative pain. Predefined, clinically justified reasons for not resuming normal activities within the first 3 postoperative days were also registered. Results: Between August 2009 and August 2010, 185 consecutive male patients with groin hernia were enrolled prospectively, and 162 patients were available for analysis. Convalescences from work and leisure activities were a median of 5 days (range, 1-40) and 3 days (range, 1-49), respectively (P = .34). Preoperative expectations of convalescence from work (the number of days) was the only factor to explain prolonged convalescence from work (P <.001). Postoperative, self-registered planned sick leave, and complaints of pain and fatigue were the dominant reasons for not resuming normal activities within the first 3 days after operation. Younger age was the only factor found to explain the intensity of postoperative pain (P <.001). Conclusion: Postoperative convalescence (return to work or normal activities) was between 3 and 5 days after TAPP in patients who were counseled about a 1-day expected convalescence. The expectation of convalescence from work was an important reason for delayed convalescence beyond 1 day.

Original language	English
Journal	Surgery
Volume	151
Issue number	4
Pages (from-to)	556-63
Number of pages	8
ISSN	0039-6060
DOIs	https://doi.org/10.1016/j.surg.2011.08.020
Publication status	Published - Apr 2012

Access to Document

10.1016/j.surg.2011.08.020

Cite this

@article{957d220a225c4a5ebf4865d5b3056793,

title = "Determinants of a short convalescence after laparoscopic transabdominal preperitoneal inguinal hernia repair",

abstract = "Background: Evidence-based recommendations for the expected duration of convalescence after laparoscopic groin hernia repair are not available, and objective reasons for prolonged convalescence are not clear. Our main aim was to establish the expected duration of convalescence using preoperative recommendations to the patient and to identify the limiting factors for early (postoperative) resumption of normal activities after laparoscopic transabdominal preperitoneal inguinal herniorraphy (TAPP). Methods: This was a single-center prospective study. The intervention (the recommendation to the patient) was 1 day for convalescence. Several predefined factors were investigated for their influence on the duration of convalescence and the risk of early postoperative pain. Predefined, clinically justified reasons for not resuming normal activities within the first 3 postoperative days were also registered. Results: Between August 2009 and August 2010, 185 consecutive male patients with groin hernia were enrolled prospectively, and 162 patients were available for analysis. Convalescences from work and leisure activities were a median of 5 days (range, 1-40) and 3 days (range, 1-49), respectively (P = .34). Preoperative expectations of convalescence from work (the number of days) was the only factor to explain prolonged convalescence from work (P <.001). Postoperative, self-registered planned sick leave, and complaints of pain and fatigue were the dominant reasons for not resuming normal activities within the first 3 days after operation. Younger age was the only factor found to explain the intensity of postoperative pain (P <.001). Conclusion: Postoperative convalescence (return to work or normal activities) was between 3 and 5 days after TAPP in patients who were counseled about a 1-day expected convalescence. The expectation of convalescence from work was an important reason for delayed convalescence beyond 1 day.",

author = "Tolver, {Mette Astrup} and Pernille Strandfelt and Gert Forsberg and Hj{\o}rne, {Flemming Piil} and Jacob Rosenberg and Thue Bisgaard",

year = "2012",

month = apr,

doi = "10.1016/j.surg.2011.08.020",

language = "English",

volume = "151",

pages = "556--63",

journal = "Surgery (United States)",

issn = "0039-6060",

publisher = "Mosby Inc.",

number = "4",

}

TY - JOUR

T1 - Determinants of a short convalescence after laparoscopic transabdominal preperitoneal inguinal hernia repair

AU - Tolver, Mette Astrup

AU - Strandfelt, Pernille

AU - Forsberg, Gert

AU - Hjørne, Flemming Piil

AU - Rosenberg, Jacob

AU - Bisgaard, Thue

PY - 2012/4

Y1 - 2012/4

N2 - Background: Evidence-based recommendations for the expected duration of convalescence after laparoscopic groin hernia repair are not available, and objective reasons for prolonged convalescence are not clear. Our main aim was to establish the expected duration of convalescence using preoperative recommendations to the patient and to identify the limiting factors for early (postoperative) resumption of normal activities after laparoscopic transabdominal preperitoneal inguinal herniorraphy (TAPP). Methods: This was a single-center prospective study. The intervention (the recommendation to the patient) was 1 day for convalescence. Several predefined factors were investigated for their influence on the duration of convalescence and the risk of early postoperative pain. Predefined, clinically justified reasons for not resuming normal activities within the first 3 postoperative days were also registered. Results: Between August 2009 and August 2010, 185 consecutive male patients with groin hernia were enrolled prospectively, and 162 patients were available for analysis. Convalescences from work and leisure activities were a median of 5 days (range, 1-40) and 3 days (range, 1-49), respectively (P = .34). Preoperative expectations of convalescence from work (the number of days) was the only factor to explain prolonged convalescence from work (P <.001). Postoperative, self-registered planned sick leave, and complaints of pain and fatigue were the dominant reasons for not resuming normal activities within the first 3 days after operation. Younger age was the only factor found to explain the intensity of postoperative pain (P <.001). Conclusion: Postoperative convalescence (return to work or normal activities) was between 3 and 5 days after TAPP in patients who were counseled about a 1-day expected convalescence. The expectation of convalescence from work was an important reason for delayed convalescence beyond 1 day.

AB - Background: Evidence-based recommendations for the expected duration of convalescence after laparoscopic groin hernia repair are not available, and objective reasons for prolonged convalescence are not clear. Our main aim was to establish the expected duration of convalescence using preoperative recommendations to the patient and to identify the limiting factors for early (postoperative) resumption of normal activities after laparoscopic transabdominal preperitoneal inguinal herniorraphy (TAPP). Methods: This was a single-center prospective study. The intervention (the recommendation to the patient) was 1 day for convalescence. Several predefined factors were investigated for their influence on the duration of convalescence and the risk of early postoperative pain. Predefined, clinically justified reasons for not resuming normal activities within the first 3 postoperative days were also registered. Results: Between August 2009 and August 2010, 185 consecutive male patients with groin hernia were enrolled prospectively, and 162 patients were available for analysis. Convalescences from work and leisure activities were a median of 5 days (range, 1-40) and 3 days (range, 1-49), respectively (P = .34). Preoperative expectations of convalescence from work (the number of days) was the only factor to explain prolonged convalescence from work (P <.001). Postoperative, self-registered planned sick leave, and complaints of pain and fatigue were the dominant reasons for not resuming normal activities within the first 3 days after operation. Younger age was the only factor found to explain the intensity of postoperative pain (P <.001). Conclusion: Postoperative convalescence (return to work or normal activities) was between 3 and 5 days after TAPP in patients who were counseled about a 1-day expected convalescence. The expectation of convalescence from work was an important reason for delayed convalescence beyond 1 day.

U2 - 10.1016/j.surg.2011.08.020

DO - 10.1016/j.surg.2011.08.020

M3 - Journal article

C2 - 22014375

SN - 0039-6060

VL - 151

SP - 556

EP - 563

JO - Surgery (United States)

JF - Surgery (United States)

IS - 4

ER -

Determinants of a short convalescence after laparoscopic transabdominal preperitoneal inguinal hernia repair

Abstract

Access to Document

Fingerprint

Cite this