ABSTRACT
Diabetes mellitus is an endocrine disorder with high prevalence in the Middle East. The effect of this condition has been studied by various researchers indicating a marked effect on the quality of life of patients. To assess the effect of diabetes mellitus on quality of life [QOL]. To identify the domain that shows the greatest impact of diabetes. A cross-sectional study was done from 1st October 2010 to 15th April 2011 at three hospitals [Gulf Medical College Hospital, Sheikh Khalifa Hospital Ajman, and Umm al Quwain Hospital]. Diabetic and non-diabetic individuals were selected from the three hospitals. A standardized self-administered questionnaire [Short Form-36] was used to assess the QOL of the participants in different domains, Physical function [PF], Role of physical limitation due to DM [RP], Bodily pain [BP], General health [GH], Vitality [V], Social functioning [SF], Role of emotional limitation due to DM [RE], Mental health [MH], Physical Component [PCS], and Mental Component [MCS]. A standardized scoring system was used to determine the QOL domains scores for each individual. Data analysis was done using SPSS version 19. Mann Whitney U test was used to test the significance of difference between median score values of the studied diabetic and non-diabetic groups. The study included 180 diabetic and 180 non-diabetic individuals. The median scores for QOL domains PF, RP, BP, GH, V, SF, RE, MH, PCS, and MCS were significantly lower in diabetic group [60, 25, 64, 52, 50, 62, 33, 53, 42, and 41 respectively] compared to non-diabetics [95, 100,74,67,60, 75,100, 64, 53, and 46 respectively]. The greatest difference between median scores of the two groups was noticed in the Role - physical [RP] domain which reflects the extent to which physical capabilities limit activity of the individual and this was followed by the Role - emotional [RE]: the extent to which emotional factors affected work or other activities of the individual. Diabetes mellitus affects the quality of life of patients in all dimensions, physical, mental and social
Subject(s)
Humans , Male , Female , Quality of Life , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
Background: lichtenstein technique is a widely used surgical procedure for inguinal hernia repair
Objective: this study aims to evaluate the efficacy of suture less mesh placement in open, tension-free inguinal repair
Methods: this was a prospective and interventional study in which 90 adult male patients with indirect inguinal hernia underwent suture less mesh repair from April 2007 to April 2008
Results: out of the total 90 repairs, 83 [92.2%] were for primary hernias and 7 [7.8%] were for recurrent hernias. Postoperative complications included; scrotal hematoma 2.2%, seromas 5.5%, neuralgia 3.3% and wound infections 3.3%. There were no recurrences observed
Conclusion: suture less tension free Lichtenstein repair has proved to be quite satisfactory and provides high patient comfort in primary or recurrent indirect inguinal hernias encountered in surgical practice