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1.
World J Surg ; 43(8): 1914-1920, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31011821

RESUMO

BACKGROUND: Hernias severely impact patient quality of life (QoL), and 80% of patients need surgical operation. The primary outcome of the study is to assess improvements in balance, posture and deambulation after abdominal hernia repair. Moreover, the study investigated the improvement in the postoperative QoL. METHODS: Patients operated at the Policlinico "Paolo Giaccone" at Palermo University Hospital between June 2015 and June 2017 were identified in a prospective database. The functional outcome measures and QoL assessment scales used were numeric rating scale for pain, performance-oriented mobility assessment (POMA) scale, Quebec back pain disability scale, center of gravity (barycenter) variation evaluation, Short-Form (36) Health Survey (SF-36 test), sit-up test and Activities Assessment Scale (AAS). The timepoints at which the parameters listed were assessed for the study were 1 week before the surgical operation and 6 months later. RESULTS: The POMA scale showed a significant improvement, with an overall preoperative score of (mean; SD) 18.80 ± 2.17 and a postoperative score of 23.56 ± 2.24 with a p < 0.003. The improvement of the barycenter was significant with p = 0.03 and 0.01 for the right and left inferior limbs, respectively. Finally, common daily activities reported by the SF-36 test and by the AAS were significantly improved with a reported p of ≤0.04 for 5 of eight items and ≤0.002 for all items, respectively. CONCLUSIONS: The improvement in such physical measures proves the importance of abdominal wall restoration to recover functional activity in the muscle-skeletal complex balance, gait and movement performance.


Assuntos
Parede Abdominal/cirurgia , Hérnia Ventral/cirurgia , Herniorrafia/métodos , Hérnia Incisional/cirurgia , Qualidade de Vida , Adulto , Idoso , Feminino , Inquéritos Epidemiológicos , Hérnia Ventral/reabilitação , Humanos , Hérnia Incisional/reabilitação , Masculino , Pessoa de Meia-Idade , Medição da Dor/métodos , Período Pós-Operatório , Estudos Prospectivos , Psicometria , Quebeque , Recuperação de Função Fisiológica , Telas Cirúrgicas , Resultado do Tratamento
2.
Plast Reconstr Surg ; 136(3): 362e-369e, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26313841

RESUMO

BACKGROUND: Abdominal wall defects remain a significant cause of morbidity and mortality in the United States. Postoperative rehabilitation programs have been used consistently in many surgical subspecialties with exceptional results. Such programs have proven to decrease the total time patients require to resume daily activities. The authors describe a systematic rehabilitation protocol developed with the physical medicine and rehabilitation department that has significantly decreased recurrence rates in patients undergoing complex abdominal wall reconstruction. METHODS: A retrospective analysis was carried out on patients presenting for open repair of an abdominal wall defect performed by a single surgeon. Over a 5-year period, there were 275 consecutive patients divided into two similar groups: one group consisted of 137 patients that received abdominal wall rehabilitation; a second group of 138 patients did not. Patient demographics including body mass index, number of hernia defects, number of previous repairs/abdominal operations, defect size, operative time, blood loss, and postoperative complications including recurrence were collected. RESULTS: Patients enrolled in the abdominal wall rehabilitation program were found to have fewer recurrences at follow-up, with statistical significance compared with those that were not enrolled in the program. CONCLUSIONS: The implementation of the abdominal wall rehabilitation program has resulted in a decrease in recurrence rates following complex abdominal wall hernia repair and reconstruction. This is an innovative system that uses rehabilitation and physical therapy to enhance the psychosocial and occupational status of patients by improving recurrence rates. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.


Assuntos
Parede Abdominal/cirurgia , Hérnia Ventral/cirurgia , Herniorrafia/reabilitação , Modalidades de Fisioterapia , Cuidados Pós-Operatórios/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Hérnia Ventral/reabilitação , Humanos , Masculino , Pessoa de Meia-Idade , Recuperação de Função Fisiológica , Recidiva , Estudos Retrospectivos , Resultado do Tratamento
3.
Klin Khir ; (9): 30-4, 2006 Sep.
Artigo em Russo | MEDLINE | ID: mdl-17269388

RESUMO

The modern approach to rehabilitation and the quality of life securing in patients suffering postoperative abdominal hernia was elucidation. Using the rehabilitation algorrhythm elaborated in 69 (88.5%) patients suffering extent and giant hernia, satisfactory result was achieved after reconstructive operation performance, which had guaranteed the sufficient quality of life level. Poor result was noted in 9 (11.5%) patients, of them in 4 (5.1%) the disease recurrence had occurred, 5 (6.4%) were directed to expert medico-social commission. In these patients the quality of life indices did not differ from their values, presenting before the operation.


Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Hérnia Ventral , Procedimentos Cirúrgicos Reconstrutivos , Hérnia Ventral/etiologia , Hérnia Ventral/reabilitação , Hérnia Ventral/cirurgia , Humanos , Pessoa de Meia-Idade , Qualidade de Vida , Resultado do Tratamento
4.
Rev. chil. cir ; 57(3): 209-212, jun. 2005. tab
Artigo em Espanhol | LILACS | ID: lil-425196

RESUMO

Nuestro objetivo es describir el perfil biodemográfico y analizar cómo fueron reparadas las hernias incisionales por los cirujanos del Hospital Base de Osorno entre enero de 2000 y julio de 2004. Se presenta una serie de casos de 201 pacientes intervenidos por hernia incisional, 35 hombres (17,4 por ciento) y 166 mujeres (82.6 por ciento) con edad promedio de 58 años, con IMC promedio de 34 y alta frecuencia de cirugía de urgencia. Un 96 por ciento no presentó infecciones del sitio operatorio. La mayoría fueron reparadas con cierre primario y solo un 11.5 por ciento de los pacientes reparados fue reforzado con malla. Un 36.8 por ciento de los pacientes tenían recidiva de hernia incisional previa. No hay diferencias biodemógraficas entre la población con hernia incisional reparada por primera vez y el grupo con recidiva de hernia incisional. Nuestros resultados no son bueno en la reparación de hernias incisionales, son parte del reflejo de las características propias de los pacientes como son la obesidad y las enfermedades crónicas, además son pacientes que se reparan en su gran mayoría de urgencia donde las condiciones no siempre son las mejores.


Assuntos
Masculino , Humanos , Feminino , Hérnia Ventral/cirurgia , Hérnia Ventral/reabilitação , Complicações Pós-Operatórias/cirurgia , Deiscência da Ferida Operatória/reabilitação , Laparotomia/efeitos adversos , Procedimentos Cirúrgicos Reconstrutivos/métodos , Recidiva , Reoperação , Estudos Retrospectivos , Fatores de Risco , Telas Cirúrgicas
5.
Acta paul. enferm ; 16(1): 49-55, jan.-mar. 2003. tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: lil-364038

RESUMO

Com a finalidade de analisar os pacientes com problemas de adesão às orientações fornecidas para o autocuidado durante o periodo pós operatório mediato, realizou-se o acompanhamento de 36 pacientes submetidos à cirurgia de correção de hérnia abdominal, por meio de visitas domiciliárias (VD), no período do 2º ao 13º dia pós operatório...


Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Autocuidado , Educação de Pacientes como Assunto , Cuidados Pós-Operatórios/enfermagem , Enfermagem em Saúde Comunitária/educação , Hérnia Ventral/reabilitação
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