QUALITY OF LIFE FOR PATIENTS WITH INTESTINAL STOMA AFTER PARASTOMAL HERNIA REPAIR

Abstract

Purpose: to reveal the dependence of the quality of life of patients with intestinal stoma, after using various methods of parastomal hernia repair.Material and methods. During the study, 27 patients with parastomal hernias were operated on, which were divided into 2groups: control group - 13 patients (hernia repair was performed from the local access with the installation of a mesh implant in the On-lay position); main group - 14 patients (plastic surgery was performed using video endoscopic technologies: Sugarbaker laparoscopic operation on 6 people, Pauli robotic operation on 8 people). After the operation, a questionnaire was conducted using the SF-36 quality of life questionnaire: at the 6th month and 18th month. In addition, the specific Carolinas Comfort Scale (CCS) questionnaire was used at 1 month after surgery, 6 months and 18 months.Results. 1 and 6 months after surgery, the indicators on all scales, including the total score, did not differ statistically in both groups.After 18 months, the patients of the main group show a significantly better quality of life. The final index of physical and mental components of health on the SF-36 scale in patients of the main group was better than in the control group (p=0.010, p=0.034).