Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes , clinical and demographic factors .
Surgical complications appear to be a significant and often long-term predictor of patient postoperative psychosocial outcomes .
The results highlight the importance of attending to patients ' psychological needs in the aftermath of surgical complications
OBJECTIVE Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability .
Psychological distress could further delay patients ' recovery as stress delays wound healing and compromises immunity .
This review investigates whether surgical complications adversely affect patients ' postoperative well-being and the duration of this impact .
Mid term analysis of safety and quality of life after the laparoscopic repair of paraesophageal hiatal hernia
Background Initial experience with the laparoscopic repair of paraesophageal and type III mixed hiatal hernias showed that it is safe and feasible , with excellent immediate and short-term results . However , after a longer follow-up , a recurrence rate of ≤40 % has been demonstrated . Data related to the outcome of paraesophageal hernia repair and the recurrence rate are still lacking . Quality -of-life scores may offer a better means of assessing the impact of surgical treatment on the overall health status of patients . Therefore , we performed prospect i ve evaluation of anatomic and /or symptomatic recurrences after paraesophageal or large hiatal hernia repair . In addition , we investigated the correlation between recurrence and the patient ’s quality of life . Methods All patients after who had undergone repair of paraesophageal of mixed hiatal hernia were identified prospect ively from a data base consisting of all patients who had had laparoscopic operations for gastroesophageal pathology at our hospital between February 1998 and December 2002 . The preoperative symptoms were taken from patients ’ clinical files . In March 2003 , all patients with ≥6 months of follow-up had a barium swallow and were examined for radiological and clinical signs of recurrence . Thereafter , the patients ’ quality of life after surgery was evaluated using three st and ard question naires ( Short Form 36 [ SF-36 ] , Glasgow Dyspepsia Severity Score [ GDSS ] , and Gastrointestinal Quality of Life Index [ GIQLI ] . Result During the study period , 46 patients had been operated on . The mean age was 63 years ( range , 28–93 ) . Thirty seven of them had a follow-up of ≥6 months . Eight patients ( 21 % ) had postoperative gastrointestinal symptoms . Barium swallow was performed in 30 patients ( 81 % ) and showed a recurrence in six of them ( 20 % ) . According to SF-36 and GDSS , the patients ’ postoperative quality of life reached normal values and did not differ significantly from the st and ard values for the Spanish population of similar age and with similar comorbidities . Successfully operated patients reached a GIQLI value comparable to the st and ard population . However , symptomatic patients had significantly lower GIQLI scores than the asymptomatic or the Rx-recurrent group . Conclusion The laparoscopic treatment of large paraesophageal and mixed hiatal hernias is not only feasible and safe but also offers a good quality of life on a midterm basis . However , the anatomic and functional recurrence rate is high . The next step is to identify the subset of patients who are at risk of failure and to establish technical alternatives that would ensure the durability of the repair
Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes , clinical and demographic factors .
Surgical complications appear to be a significant and often long-term predictor of patient postoperative psychosocial outcomes .
The results highlight the importance of attending to patients ' psychological needs in the aftermath of surgical complications
OBJECTIVE Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability .
Psychological distress could further delay patients ' recovery as stress delays wound healing and compromises immunity .
This review investigates whether surgical complications adversely affect patients ' postoperative well-being and the duration of this impact .