Randomized clinical trial comparing laparoscopic hiatal hernia repair using sutures versus sutures reinforced with non-absorbable mesh

2018 ◽  
Vol 32 (11) ◽  
pp. 4579-4589 ◽  
Author(s):  
Jelmer E. Oor ◽  
David J. Roks ◽  
Jan H. Koetje ◽  
Joris A. Broeders ◽  
Henderik L. van Westreenen ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Hernia Repair ◽  
Randomized Clinical Trial ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Absorbable Mesh ◽  
Laparoscopic Hiatal Hernia Repair

scholarly journals Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Agrusa Antonino ◽  
Romano Giorgio ◽  
Frazzetta Giuseppe ◽  
De Vita Giovanni ◽  
Di Giovanni Silvia ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Laparoscopic Approach ◽  
Acid Reflux ◽  
Hiatal Hernia Repair ◽  
Type I ◽  
Absorbable Mesh ◽  
Laparoscopic Hiatal Hernia Repair ◽  
Crural Closure ◽  
History Of

Type I hiatal hernia is associated with gastroesophageal reflux disease (GERD) in 50–90% of cases. Several trials strongly support surgery as an effective alternative to medical therapy. Today, laparoscopic fundoplication is considered as the procedure of choice. However, primary laparoscopic hiatal hernia repair is associated with upto 42% recurrence rate. Mesh reinforcement of the crural closure decreases the recurrence but can lead to complications, above all nonabsorbable ones. We experiment a new totally absorbable mesh by Gore.Case. We present a case of a 65-year-old female patient with a 6-year classic history of GERD. Endoscopy revealed a large hiatal hernia and esophagitis. pH study was positive for acid reflux; esophageal manometry revealed LES intrathoracic dislocation. With laparoscopic approach, the hiatal hernia defect was identified and primarily repaired, by crural closure. Gore Bio-A Tissue Reinforcement was trimmed to fit the defect accommodating the esophagus. Nissen fundoplication was performed.Result. Bio-A mesh was easily placed laparoscopically. It has good handling and could be cut and tailored intraoperatively for optimal adaptation. There were no short-term complications.Conclusion. Crural closure reinforcement can be done readily with this new totally absorbable mesh replaced by soft tissue over six months. However, further data and studies are needed to evaluate long-term outcomes.

Laparoscopic hiatal hernia repair: why they fail

Hernia ◽  
2000 ◽  
Vol 4 (4) ◽  
pp. 219-222 ◽  
Author(s):  
C. J. Filipi
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Laparoscopic Hiatal Hernia Repair

scholarly journals Iatrogenic cardiac tamponade after laparoscopic hiatal hernia repair requiring emergency sternotomy

2018 ◽  
Vol 56 (1) ◽  
pp. 215-215 ◽  
Author(s):  
Samuel Heuts ◽  
Walther N K A van Mook ◽  
Eric J Belgers ◽  
Roberto Lorusso
Keyword(s):  
Hernia Repair ◽  
Cardiac Tamponade ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Laparoscopic Hiatal Hernia Repair

532 OUTCOME OF QUILICI’S HEPATIC SHOULDER PROCEDURE TO AUGMENT LAPAROSCOPIC HIATOPLASTY IN LARGE OR RECURRENT HIATAL HERNIA

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Johannes Zacherl ◽  
Viktoria Kertesz ◽  
Cordula Höfle ◽  
Lisa Gensthaler ◽  
Bernhard Eltschka ◽  
...  
Keyword(s):  
High Risk ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Laparoscopic Hernia Repair ◽  
Perioperative Complications ◽  
Recurrent Hernia ◽  
Hernia Recurrence ◽  
Hiatal Hernia Repair ◽  
Laparoscopic Hiatal Hernia Repair

Abstract   Laparoscopic hiatoplasty and fundoplication is the gold standard of surgical treatment of GERD and hiatal hernia. However, the main drawback of laparoscopic hiatal hernia repair is a substantial recurrence rate. Hence, prosthetic meshs have been used to reduce the risk for recurrence. But meshs may cause major complications. As a consequence we adopted the hepatic shoulder plasty described by Quilici to augment the hiatal hernia repair in patients with a high risk for hernia recurrence. Methods Patients with large (>4 cm) axial hiatal hernia, giant paraesophageal or with recurrent hernia consecutively underwent laparoscopic hernia repair with crural sutures and hepatic shoulder plasty. A Toupet or a floppy Nissen fundoplication was added. In patients with giant paraesophageal hernia the hernia sack was resected. Perioperative complications were recorded. Follow-up comprised endoscopy and/or radiography and QoL-evaluation with the Eypasch score (GIQLI). Results Between 2012 and 2018 51 patients (mean age 71 years, 65% female) underwent Quilici’s procedure. Among them 33,3% had one or more previous hiatal hernia repair. There were no conversions. Postoperative complication rate was 7.8%. At follow-up after 2 years 6 recurrences (12%) were encountered, 4 of them were symptomatic (8%). One patient underwent reoperation due to hernia recurrence. In 84% QoL was significantly improved at follow-up. Conclusion In patients with high risk of recurrence, biological augmentation of the hiatal closure with the left lobe of the liver may be a valuable alternative to prosthetic reinforcement. We observed no complication attributable to liver lobe transposition.

A646 Laparoscopic Hiatal Hernia Repair With A Fundopexy In a Post Sleeve Gastrectomy Patient

2019 ◽  
Vol 15 (10) ◽  
pp. S263
Author(s):  
Vicente Cogollo ◽  
Juliana Henrique ◽  
Luis Felipe Okida ◽  
Maria Fonseca ◽  
Emanuele Lo Menzo ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Laparoscopic Hiatal Hernia Repair

Resolution of anemia and improved quality of life following laparoscopic hiatal hernia repair

2019 ◽  
Vol 34 (7) ◽  
pp. 3072-3078 ◽  
Author(s):  
Alex Addo ◽  
Andrew Broda ◽  
H. Reza Zahiri ◽  
Ian M. Brooks ◽  
Adrian Park
Keyword(s):  
Quality Of Life ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Laparoscopic Hiatal Hernia Repair

scholarly journals Open versus Laparoscopic Hiatal Hernia Repair

2013 ◽  
Vol 17 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Terrence M. Fullum ◽  
Tolulope A. Oyetunji ◽  
Gezzer Ortega ◽  
Daniel D. Tran ◽  
Ian M. Woods ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Laparoscopic Hiatal Hernia Repair ◽  
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