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C.-s. Hunag - One of the best experts on this subject based on the ideXlab platform.

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias
    Hernia, 2020
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, W.-p. Chang, C.-s. Hunag
    Abstract:

    Purpose In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Methods Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naïve with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. Results A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naïve patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p  

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias
    Hernia, 2019
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, T.-f. Ho, W.-p. Chang, C.-s. Hunag
    Abstract:

    Purpose In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Methods Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naïve with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. Results A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naïve patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p  

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias.
    Hernia : the journal of hernias and abdominal wall surgery, 2019
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, W.-p. Chang, C.-s. Hunag
    Abstract:

    In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naive with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naive patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p 

James F Trotter - One of the best experts on this subject based on the ideXlab platform.

  • Risk of Hernia Incarceration following transjugular intrahepatic portosystemic shunt placement.
    Journal of vascular and interventional radiology : JVIR, 2013
    Co-Authors: Mitchell T. Smith, James F Trotter, Benjamin Rase, Alyn Woods, Matt Gipson, Kimi L. Kondo, Charles E. Ray, Janette D. Durham
    Abstract:

    Abstract Purpose Hernia complications after creation of a transjugular intrahepatic portosystemic shunt (TIPS) have been reported, although the incidence of this complication is unknown. This study was designed to determine the incidence, morbidity, and outcome of Hernia complications in patients with preexisting abdominal or inguinal Hernias after TIPS creation. Materials and Methods The medical records of 244 consecutive patients undergoing TIPS creation between 1999 and 2007 at a single institution were reviewed. The study population was 57 patients (23%) with a preprocedural abdominal or inguinal Hernia. The investigated outcome was small bowel obstruction or postprocedural Incarceration of a preexisting Hernia. Demographic and procedural variables were evaluated for an associated increased risk of Hernia complications. Results Hernia complications developed in 25% of patients (14 of 57) after TIPS creation at a mean presentation of 62 days (range, 2–588 d). Thirteen complications (93%) required emergent surgery, of which four (29%) required bowel resection for necrosis. There were no resulting deaths. Ninety-eight percent of patients with a Hernia complication had the procedure to treat refractory ascites. The indication of refractory ascites was significantly associated with the risk of a Hernia complication ( P = .002). Conclusions A 25% incidence of Hernia complications following TIPS creation in patients being treated for refractory ascites is higher than expected; emergent surgery is required in most cases. Further investigation to formulate a plan for elective management is warranted.

  • Incarceration of umbilical Hernia following transjugular intrahepatic portosystemic shunt for the treatment of ascites
    Liver Transplantation, 1999
    Co-Authors: James F Trotter, Paul V Suhocki
    Abstract:

    Transjugular intrahepatic portosystemic shunt (TIPS) is an effective therapy for patients with medically refractory ascites. Many patients with refractory ascites have umbilical Herniation. Incarceration of umbilical Hernia has been reported following diuresis, paracentesis, and peritoneovenous shunting. We report 2 cases of umbilical Hernia Incarceration following resolution of ascites after TIPS.

C.-c. Huang - One of the best experts on this subject based on the ideXlab platform.

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias
    Hernia, 2020
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, W.-p. Chang, C.-s. Hunag
    Abstract:

    Purpose In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Methods Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naïve with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. Results A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naïve patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p  

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias
    Hernia, 2019
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, T.-f. Ho, W.-p. Chang, C.-s. Hunag
    Abstract:

    Purpose In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Methods Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naïve with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. Results A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naïve patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p  

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias.
    Hernia : the journal of hernias and abdominal wall surgery, 2019
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, W.-p. Chang, C.-s. Hunag
    Abstract:

    In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naive with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naive patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p 

Paul V Suhocki - One of the best experts on this subject based on the ideXlab platform.

W.-p. Chang - One of the best experts on this subject based on the ideXlab platform.

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias
    Hernia, 2020
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, W.-p. Chang, C.-s. Hunag
    Abstract:

    Purpose In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Methods Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naïve with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. Results A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naïve patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p  

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias
    Hernia, 2019
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, T.-f. Ho, W.-p. Chang, C.-s. Hunag
    Abstract:

    Purpose In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Methods Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naïve with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. Results A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naïve patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p  

  • Revisiting HERQL, the Hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall Hernias.
    Hernia : the journal of hernias and abdominal wall surgery, 2019
    Co-Authors: C.-c. Huang, H.-h. Lien, J.-u. Wong, W.-p. Chang, C.-s. Hunag
    Abstract:

    In the past we have developed and validated the Hernia-specific quality of life assessment instrument, HERQL, for groin Hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall Hernias. Subjective quality-of-life perceptions from abdominal wall Hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naive with follow-up Hernia patients. Measurement invariance between groin and abdominal wall Hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional Hernias, as well as the presence of co-morbidity, Hernia Incarceration, surgical complications, and recurrent abdominal wall Hernias. A total of 775 HERQL assessments, including 167 from abdominal wall Hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naive patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall Hernias. Configural invariance was evidenced by that the same model held true for both types of Hernias with multi-group SEM, while mean structure exploration showed that abdominal wall Hernia patients reported less latent summative pain (− 0.535, p