EAES Guidelines for Endoscopic Surgery.pdf - E-Lib FK UWKS

Background and Evidence
There is only one retrospective comparative study on QoL after laparoscopic
and open surgery for diverticular disease. Five years after surgery, Roblick
et al. [107] asked 45 matched patient pairs to assess their QoL using
the SF-36 (2b). No significant differences were found at this late point in
time after the surgery. Short or intermediate-term results were not available.
Groin Hernia
Key Points and Suggestion for QoL Assessment
Compared to open hernia repair, laparoscopic surgery (TAPP and TEP)
improves QoL more quickly (EL 1a). This is also true for bilateral hernia repair
(EL 1b). Long-term restoration of QoL is not different (EL 1a).
The SF-36 (generic measure) is suggested as the primary HRQL measure
of outcome. In addition, the VAS or a single-item rating of pain is recommended.
The status of QoL should be measured after 1 and, at least, 6 and
12 months postoperatively.
Background and Evidence
1 The EAES Clinical Practice Guidelines 19
Three meta-analyses, one systematic review, ten randomized trials, and
nonrandomized trial compared QoL outcomes using standardized or ad hoc
questionnaires.
The Cochrane review by the European Hernia Trialists was first published
in 2000 and updated in 2003 (1a) [77]. The reviewers compared TAPP and
TEP with open mesh and nonmesh procedures. As can be expected from the
large number of primary trials, the duration and completeness of follow-up
varied considerably among the studies. In the meta-analysis, a significant reduction
in persisting postoperative pain (overall 290/2101 versus 459/2399;
Peto OR = 0.54; 95% CI, 0.46±0.64; p