Laparoscopic repair of large paraesophageal hiatus hernia: quality of life and durability

Abstract

Laparoscopic repair of LPOHH is associated with good quality of life as well as an acceptable midterm recurrence rate.

The Choice of Primary Repair or Mesh Repair for Paraesophageal Hernia

“…To avoid overweighting of data from centers with multiple publications, when more than 1 study was published by a center, the latest published study with the largest sample size and the longest follow-up was used unless the center published other studies which contained information that was useful for the decision analysis in one study but not in another. Tables 2 19-45 and 3 21,[26][27][28][29][30][31][33][34][35][36][37][38]41,42,[44][45][46][47][48][49] present the references with the data sources used in this decision analysis.…”

Laparoscopic Antireflux Surgery: A Comparative Study of Nissen Fundoplication and Hiatoplasty With and Without Absorbable Biological Mesh

“…Both anatomic and ultrastructural characteristics of the hiatal crus as well as the mean diameter of hiatal defect seem to play a key role in the development of this type of complication. Crural closure generates a lateral tension proportional to the hiatal defect diameter, which may lead to disruption of hiatal repair during inspiratory movements of the diaphragm or forceful vomiting [16]. Therefore, anything that increases the intraabdominal pressure such as lifting or falls puts strain on the diaphragm.…”

Laparoscopic Repair of a Giant Hiatus Hernia—How I Do It

“…6,9 Quality of life is also improved significantly after operation. 10 Whether the use of mesh to reinforce the hiatal repair or to obtain a tension-free repair will reduce the recurrence rate and symptomatic outcome is still unclear. Three randomized controlled trials have compared the results of procedures with mesh and with no mesh.…”