Evaluation of quality of life and satisfaction in patients undergoing laparoscopic Mitrofanoff procedure.

M B Oliver, R Gander, G Fatou Royo, M Aguilera, M López, M Asensio
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Abstract

Objectives: The Mitrofanoff principle has been extensively evaluated in terms of associated morbidity and mortality. However, there is limited literature specifically addressing quality of life (QoL), particularly concerning the laparoscopic procedure. The aim of this study was to assess the impact of laparoscopic appendicovesicostomy (LA) on QoL by using a specific questionnaire targeted at patients and their families.

Materials and methods: This observational and descriptive study involved patients who underwent LA between May 2018 and December 2023. A survey consisting of 29 questions, organized into three sections was used: satisfaction with the surgery, outcomes, and current continence status. Responses were graded according to the Likert scale (1-5) (1 = strongly disagree, 5 = strongly agree).

Results: Of the 29 contacted families, 24 (82.8%) responded. The average age was 12.3 years (SD 4.4), with 75.9% being male. The primary indication for surgery was pain during urethral catheterization (69%). Mean postoperative follow-up was 36.5 months. Regarding satisfaction with surgery: overall satisfaction,hospitalization duration and pain control was rated with a score of 5 by 66.7%, 58.3% and 58.3%, respectively. In terms of outcomes: 54.2% rated aesthetic results with a score of 5, and 83.3% rated improvement in QoL with a score of 4 or 5. Concerning current continence status, 66.6% were very satisfied with the results and reported total absence of leakages or on a very specific occasion (score of 4 or 5).

Conclusions: This study supports the improvement in perceived QoL among patients requiring an LA. Overall satisfaction with the procedure and outcomes related to continence were perceived as very good by both patients and their families.

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对腹腔镜米特罗凡诺夫手术患者的生活质量和满意度进行评估。
目的:米特罗凡诺夫原理已在相关发病率和死亡率方面进行了广泛评估。然而,专门针对生活质量(QoL),尤其是腹腔镜手术生活质量的文献却很有限。本研究旨在通过针对患者及其家属的特定问卷,评估腹腔镜阑尾造口术(LA)对生活质量的影响:这项观察性和描述性研究涉及2018年5月至2023年12月期间接受LA手术的患者。调查问卷由 29 个问题组成,分为三个部分:手术满意度、结果和当前失禁状况。根据李克特量表(1-5)(1=非常不同意,5=非常同意)对回答进行评分:结果:在联系的 29 个家庭中,有 24 个(82.8%)做出了回复。平均年龄为 12.3 岁(SD 4.4),75.9% 为男性。手术的主要适应症是导尿时疼痛(69%)。术后平均随访 36.5 个月。在手术满意度方面:66.7%、58.3%和58.3%的患者对手术的总体满意度、住院时间和疼痛控制分别打了5分。在手术效果方面:54.2%的人对美学效果的评分为 5 分,83.3%的人对生活质量的改善评分为 4 分或 5 分。关于目前的尿失禁状况,66.6%的人对结果非常满意,并表示完全没有漏尿或在非常特殊的情况下没有漏尿(4 分或 5 分):这项研究证实,需要接受 LA 的患者的生活质量有所提高。患者及其家属对手术的总体满意度以及与尿失禁相关的结果均认为非常好。
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