Patient reported outcomes after incisional hernia repair—establishing the ventral hernia recurrence inventory

• The performance of PROs for detecting incisional hernia recurrence was evaluated.
• Patient-reported bulge is 85% sensitive, and 81% specific for detecting recurrence.
• PROs can facilitate long-term follow-up after incisional hernia repair.

BackgroundAssessing incisional hernia recurrence typically requires a clinical encounter. We sought to determine if patient-reported outcomes (PROs) could detect long-term recurrence.MethodsAdult patients 1 to 5 years after incisional hernia repair were prospectively asked about recurrence, bulge, and pain at the original repair site. Using dynamic abdominal sonography for hernia to detect recurrence, performance of each PRO was determined. Multivariable regression was used to evaluate PRO association with recurrence.ResultsFifty-two patients enrolled with follow-up time 46 ± 13 months. A patient-reported bulge was 85% sensitive, and 81% specific to detect recurrence. Patients reporting no bulge and no pain had 0% chance of recurrence. In multivariable analysis, patients reporting a bulge were 18 times more likely to have a recurrence than those without (95% confidence interval, 3.7 to 90.0; P < .001).ConclusionsThis preliminary study demonstrates that PROs offer a promising means of detecting long-term recurrence after incisional hernia repair, which can help facilitate quality improvement and research efforts.

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