Laparoscopic management of large hiatal hernia: mesh method with the use of ProGrip mesh versus standard crural repair

Ilyashenko, V. V.; Грубник, В. В.

doi:10.1007/s00464-018-6087-2

Cited by 31 publications

(30 citation statements)

References 32 publications

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“…The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) guidelines classify hiatus hernias in accordance to anatomical classification (Types I–IV). [ 10 ] Although most studies have used the SAGES classification,[ 10 ] nine authors defined GHH in their study using modified SAGES criteria, as either a Type II or III hernia (four studies),[ 18 24 29 30 ] or large PEH (five studies). [ 31 32 33 34 35 ]…”

Section: Resultsmentioning

confidence: 99%

“…The SF-36 score was used by nine studies, of which three looked at both pre-operative and post-operative QoL. [ 18 28 41 ] Tam et al . found no significant improvement in QoL in both PCS ( P = 0.005) and MCS ( P = 0.264) components.…”

Section: Resultsmentioning

confidence: 99%

“…[ 41 ] Velanovich et al ., using SF-36, compared post-operative improvement in laparoscopic group with that of open group. [ 18 ] Post-operatively, the PF score improved in the laparoscopic group ( P = 0.02) and RP worsened in the open group ( P = 0.0001). However, when comparing the laparoscopic group to the open group, there were significantly better scores in the laparoscopic group in the domains of PF, RP, RE, VT and SF.…”

Section: Resultsmentioning

confidence: 99%

“…in 2001, a number of studies addressing the QoL following the repair of GHH have been published. [ 18 ] Some studies have compared QoL outcomes with or without mesh, some have assessed QoL in elderly population and some have compared QoL after two different operations. [ 19 20 21 22 23 24 25 ] There remains a lack of clarity on the impact of such variables on QoL outcomes after GHH surgical repair.…”

Section: Introductionmentioning

confidence: 99%

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Quality of life after giant hiatus hernia repair: A systematic review

Date

Goh

et al. 2021

J Min Access Surg

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Background: Elective surgery is the treatment of choice for symptomatic giant hiatus hernia (GHH), and quality of life (QoL) has become an important outcome measure following surgery. The aim of this study is to review the literature assessing QoL following repair of GHH. Methodology: A systematic literature search was performed by two reviewers independently to identify original studies evaluating QoL outcomes after GHH surgery. MeSH terms such as paraoesophageal; hiatus hernia; giant hiatus hernia and quality of life were used in the initial search. Original studies in English language using validated questionnaires on humans were included. Review articles, conference abstracts and case reports and studies with duplicate data were excluded. Results: Two hundred and eight articles were identified on initial search, of which 38 studies (4404 patients) were included. Studies showed a significant heterogeneity in QoL assessment tools, surgical techniques and follow-up methods. All studies assessing both pre-operative and post-operative QoL ( n = 31) reported improved QoL on follow-up after surgical repair of GHH. Improvement in QoL following GHH repair was not affected by patient age, surgical technique or the use of mesh. Recurrence of GHH after surgery may, however, adversely impact QoL. Conclusion: Surgical repair of GHH improved QoL scores in all the 38 studies. The impact of recurrence on QoL needs further assessment. The authors also recommend uniform reporting of surgical outcomes in future studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Quality of life after giant hiatus hernia repair: A systematic review

Date

Goh

et al. 2021

J Min Access Surg

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“…However, since the hiatus is a dynamic anatomical structure, complete prevention of mesh contacting the oesophagus is difficult [9, 17]. The short-term incidence of postoperative dysphagia in non-resorbable prosthetic reinforced cruroplasty is reported to be 17.5–23.5% [5, 8, 18]. In a study by Dallemagne et al [19], the occurrence of persistent dysphagia was approximately in 3% of cases 5 years after surgical treatment of gastro-oesophageal reflux disease by laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Use of Polypropylene Strips for Reinforcement of the Cruroplasty in Laparoscopic Paraesophageal Hernia Repair: A Retrospective Cohort Study

Dop¹,

Smet²,

Mamound³

et al. 2021

Dig Surg

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Introduction: Laparoscopic paraesophageal hernia repair is an effective treatment for symptomatic paraesophageal hernias. To reduce recurrence rates, the use of prosthetics for the crural repair has been suggested. Mesh-related complications are rare but known to be disastrous. To address another form of crural repair, polypropylene strips are suggested. This study aimed to assess peri- and postoperative complications of reinforcement of cruroplasty with polypropylene strips. Methods: From 2013 to 2020, patients with a primary or recurrent type 2, 3, or 4 paraesophageal hernia that underwent cruroplasty with polypropylene strips were retrospectively reviewed. Intra- and postoperative complications were graded according to the Clavien-Dindo classification. The incidence of symptomatic recurrent hiatal hernia (CT or endoscopy proven) and hospital stay were assessed. Results: One hundred fifty-eight patients were included. Mean age was 65 years (standard deviation 10.4), and 119 patients were female (75.3%). Almost 50% of surgeries took place between 2018 and 2020. Median follow-up was 7 months (interquartile range 17.5). Mean operation time in the primary hernia group was 159 min (standard deviation 39.0), and length of stay was 4.4 days. In 3/158 patients (2.0%), intraoperative complications occurred. Two patients developed a grade 4 and seven patients a grade 3 postoperative complication. No mortality was recorded. Twelve recurrences (8.2%) were detected in the primary hernia group and one (9.1%) in the recurrent hernia group. Conclusion: There were no mesh-related complications seen and symptomatic recurrence rate was low, but longer follow-up is needed.

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Evidence mapping on how to perform an optimal surgical repair of large hiatal hernias

Nickel,

Müller,

Cizmic

et al. 2023

Langenbecks Arch Surg

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Background Symptomatic and large hiatal hernia (HH) is a common disorder requiring surgical management. However, there is a lack of systematic, evidence-based recommendations summarizing recent reviews on surgical treatment of symptomatic HH. Therefore, this systematic review aimed to create evidence mapping on the key technical issues of HH repair based on the highest available evidence. Methods A systematic review identified studies on eight key issues of large symptomatic HH repair. The literature was screened for the highest level of evidence (LE from level 1 to 5) according to the Oxford Center for evidence-based medicine’s scale. For each topic, only studies of the highest available level of evidence were considered. Results Out of the 28.783 studies matching the keyword algorithm, 47 were considered. The following recommendations could be deduced: minimally invasive surgery is the recommended approach (LE 1a); a complete hernia sac dissection should be considered (LE 3b); extensive division of short gastric vessels cannot be recommended; however, limited dissection of the most upper vessels may be helpful for a floppy fundoplication (LE 1a); vagus nerve should be preserved (LE 3b); a dorso-ventral cruroplasty is recommended (LE 1b); routine fundoplication should be considered to prevent postoperative gastroesophageal reflux (LE 2b); posterior partial fundoplication should be favored over other forms of fundoplication (LE 1a); mesh augmentation is indicated in large HH with paraesophageal involvement (LE 1a). Conclusion The current evidence mapping is a reasonable instrument based on the best evidence available to guide surgeons in determining optimal symptomatic and large HH repair.

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Laparoscopic management of large hiatal hernia: mesh method with the use of ProGrip mesh versus standard crural repair

Abstract: In conclusion, this study confirms that laparoscopic repair of large hiatal hernias is effective and durable over a long period of time. Reinforcement of crura repair with ProGrip™ mesh is safe and can prevent anatomical recurrences.

Cited by 31 publications

References 32 publications

Quality of life after giant hiatus hernia repair: A systematic review

Quality of life after giant hiatus hernia repair: A systematic review

Use of Polypropylene Strips for Reinforcement of the Cruroplasty in Laparoscopic Paraesophageal Hernia Repair: A Retrospective Cohort Study

Evidence mapping on how to perform an optimal surgical repair of large hiatal hernias

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