A retrospective multicenter analysis on redo-laparoscopic anti-reflux surgery: conservative or conversion fundoplication?

Hashmi, Al-Warith Al; Chambrun, Guillaume Pineton de; Souche, Régis; Bertrand, Martin; Blasi, Vito De; Jacques, Éric; Azagra, S.; Fabré, J; Borie, F.; Prudhomme, Michel; Nagot, Nicolas; Navarro, Françis; Panaro, Fabrizio

doi:10.1007/s00464-018-6304-z

Cited by 29 publications

(20 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, the total recurrence rate after introduction of LF at our facility was 15% (69/457) (Figure 1), which was almost the same as the 15.5%–20% in Europe and the US 13,14 . In one study, the recurrence rate was 2.3%–42%, depending on the facility 15 .…”

Section: Discussionsupporting

confidence: 62%

“…However, they reported that the recurrence rate after MR using PTFE was 0%, and although there was a large difference compared with our 24%, the surgical procedure was performed almost in the same way. The observation period was almost the same (34 months and 30 months, respectively), although there we used the median and Dallemagne et al 14 used the average. Their diagnostic criteria for recurrent of hiatal hernia have not been described, so we could not know the details of this results.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment strategy for laparoscopic hiatal hernia repair

Yano

Tsuboi

Omura

et al. 2021

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Introduction According to the anatomy‐function‐pathology classification, the recurrence rates of A2 and A3 hiatal hernia (HH) after laparoscopic fundoplication are higher than the rate of A1 HH. Therefore, we introduced mesh reinforcement for A2 and A3 cases. In addition, gastropexy was added to A3 cases. We present the strategy for HH repair. Methods In all, 537 patients (mean age 55.4 ± 16.7 years, 219 women) who underwent primary laparoscopic fundoplication for HH from January 1995 to October 2019 were included. They were divided into three groups by A factor (A1:A2:A3 = 296:156:85). Their clinical data were collected in a prospective fashion and retrospectively reviewed. Results The median age (years) of the patients in each group was A1:A2:A3 = 46:63:74 years, and age was directly proportional to the size of HH (P < 0.0001). The proportion of females was significantly higher in A3 than in other classes (P < 0.0001). Preoperative reflux esophagitis was severe in A2 (P < 0.0001) and operation time (min) was directly proportional to HH size (A1:A2:A3 = 135:167:193, P < 0.0001). The recurrence rate of conventional laparoscopic fundoplication was 15% (46/304), and it was higher for A2 and A3 than for A1 (P = 0.027). However, with reinforcement of the hiatus using a mesh and gastropexy, the recurrence rates decreased. Conclusion Combining mesh reinforcement and gastropexy may reduce the recurrence rate of para‐ and mixed‐type HH.

show abstract

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Treatment strategy for laparoscopic hiatal hernia repair

Yano

Tsuboi

Omura

et al. 2021

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…При ушиванні рецидивних ГСОД у більшості (64,81 %) хворих були використані сітчасті імплантати з метою зниження ризику виникнення повторних рецидивів ГСОД. На думку Hashmi (2019) повторні ЛАО мають значні переваги перед відкритими оперативними втручаннями [9]. За період нашого дослідження усі повторні операційні втручання були виконані без конверсій в лапаротомію, що дозволило мінімізувати ризик серйозних ітраопераційних ускладнень.…”

Section: Questions Of Surgery Of Gastrointestinal Tractunclassified

“…У 5 хворих, яким ми виконували дану операцію, спостерігались задовільні результати у віддалені терміни. До переліку найбільш важких інтраопераційних ускладнень повторних ЛАО входять перфорації стравоходу й шлунку [9]. У нашому дослідженні перфорація шлунку спостерігалась у 2 хворих, проте була діагностована інтраопераційно, що дозволило уникнути післяопераційних ускладнень і смертності.…”

Section: Questions Of Surgery Of Gastrointestinal Tractunclassified

Redo Laparoscopic Antireflux Surgery in Patients With Hiatal Hernia

Грубник¹,

Paranyak²

2020

Khark. Surg. Sch.

View full text Add to dashboard Cite

Summary. The purpose was to study the features and results of redo laparoscopic antireflux surgery in our clinic. Materials and methods. For the period from 2008 to 2019, in our clinic, laparoscopic antireflux operations were performed in 1164 patients. 54 patients underwent laparoscopic reoperation during the study period based on the following indications: recurrence of hiatal hernia (n = 38), recurrent reflux (n = 4), dysphagia (n = 8), severe pain (n = 5). All patients underwent repeated examinations in our clinic, telephone interviews, mailing of special questionnaires. All complaints were recorded, the quality of life was determined according to the GERD-HRQL questionnaire. Results. All redo operations were performed laparoscopically without conversion to laparotomy. Intraoperative complications were observed in 11.11 % of patients. Long-term follow up from 6 months to 6 years was observed in 90.74 % of patients. The quality of life of patients according to the GERD-HRQL questionnaire significantly improved in long-term follow-up (p <0.001). Good results were observed in 91.84 % of patients after redo operations. The third operation was needed in 5.6 % of patients. Conclusion. Redo laparoscopic antireflux operations are technically difficult surgical interventions, and should be performed by surgeons with big experience in the antireflux surgery. Laparoscopic antireflux surgery provide good long-term results in 90 % of patients.

show abstract

“…Since 1991, when the first report of a laparoscopic fundoplication was published, laparoscopic approaches for the definitive control of GERD have evolved to the point that today they are adopted worldwide. 1,2 The continuous evolution of MIS techniques over the last few decades, together with surgeons' insatiable desire to perform more minimally invasive operations, has led to the introduction of laparoendoscopic singlesite (LESS) surgery. The first LESS operation, a tubal ligation in the 1960s, was followed much later by the consortium that defined the technique in 2008.…”

mentioning

confidence: 99%

Laparoendoscopic Single-Site (LESS) versus Robotic “Redo” Hiatal Hernia Repair with Fundoplication: Which Approach is Better?

Giovannetti

Craigg

Castro

et al. 2019

The American Surgeon™

View full text Add to dashboard Cite

Only a small percentage of patients fail laparoscopic fundoplications undertaken for gastroesophageal reflux disease. But because many laparoscopic fundoplications have been undertaken, surgeons frequently encounter patients in need of “redo” operations. This study was undertaken to evaluate the robotic approach versus laparoendoscopic single-site (LESS) approach for redo fundoplications. With an Institutional Review Board approval, 64 patients undergoing LESS (n = 32) or robotic (n = 32) redo antireflux operations were prospectively followed up. Data are presented as median (mean + SD). For LESS versus robotic redo operations, the operative duration was 145 (143 ± 33.5) versus 196 (208 ± 76.7) minutes ( P < 0.01), estimated blood loss was 50 (80 ± 92.1) versus 20 (43 ± 57.1) mL ( P = 0.07), and length of stay was 1 (3 ± 5.4) versus 1 (2 ± 1.9) day ( P = 0.57); 1 LESS operation was converted to “open.” Operative duration was longer for men ( P = 0.01). Postoperative complications were not more frequent after Nissen (n = 36) or Toupet (n = 28) fundoplication, regardless of the approach. When matched by BMI, operative duration was prolonged by a large Type I to IV hiatal hernia ( P = 0.01). Symptoms improved dramatically and were similar with both approaches, and patient satisfaction was high. Robotic redo antireflux operations take longer than LESS operations. LESS and robotic redo antireflux operations are both safe and offer significant and similar amelioration of symptoms after failed fundoplications.

show abstract

A retrospective multicenter analysis on redo-laparoscopic anti-reflux surgery: conservative or conversion fundoplication?

Cited by 29 publications

References 31 publications

Treatment strategy for laparoscopic hiatal hernia repair

Treatment strategy for laparoscopic hiatal hernia repair

Redo Laparoscopic Antireflux Surgery in Patients With Hiatal Hernia

Laparoendoscopic Single-Site (LESS) versus Robotic “Redo” Hiatal Hernia Repair with Fundoplication: Which Approach is Better?

Contact Info

Product

Resources

About