Magnetic sphincter augmentation with hiatal hernia repair: long term outcomes

Introduction. Hiatal hernia occupies a third place in the structure of the gastrointestinal tract pathology. The association of hiatal hernia with gastroesophageal reflux disease can lead to severe complications and requires a surgical treatment. Objective. To analyze short-term and long-term results of a surgical treatment of patients with hiatal hernia complicated by gastroesophageal reflux disease (GERD). Methods. A retrospective analysis of the short-term and long-term treatment results of 62 patients suffering from hiatal hernia complicated by gastroesophageal reflux disease was performed. All the patients underwent a laparoscopic hiatal hernia repair supplemented by Toupet fundoplication. Results. The hospital stay duration was 7.21.6 days. The postoperative complication rate was 6.5%. Mild functional dysphagia was noted in 8(12.9%). Persistent long-term dysphagia in the late postoperative period was observed in 2(3.2%) patients. The recurrences of hiatal hernia or GERD were noted in 15(24.2%) patients in 5 years after the surgery. The total GERD-HRQL questionnaire score 5 years after the surgery was 5.73.9. Сonclusion. Laparoscopic interventions are safe, less traumatic, provide the possibility of early rehabilitation of patients, can achieve positive functional results in 85% of patients and should be used in the treatment of patients suffering from hiatal hernia complicated by GERD.

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A570 Combined Magnetic Sphincter Augmentation and Hiatal Hernia Repair for Treatment of Refractory GERD after Sleeve Gastrectomy

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2019.08.507 ◽

2019 ◽

Vol 15 (10) ◽

pp. S234

Author(s):

Keith King ◽

Omar Gonzalez-Vega ◽

Ragui Sadek

Keyword(s):

Sleeve Gastrectomy ◽

Hernia Repair ◽

Hiatal Hernia ◽

Hiatal Hernia Repair ◽

Magnetic Sphincter Augmentation ◽

Refractory Gerd

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Concurrent magnetic sphincter augmentation and hiatal hernia repair for refractory GERD after laparoscopic sleeve gastrectomy

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2019.09.072 ◽

2020 ◽

Vol 16 (1) ◽

pp. 168-170

Author(s):

Gordian U. Ndubizu ◽

Anthony T. Petrick ◽

Ryan Horsley

Keyword(s):

Sleeve Gastrectomy ◽

Hernia Repair ◽

Laparoscopic Sleeve Gastrectomy ◽

Hiatal Hernia ◽

Hiatal Hernia Repair ◽

Magnetic Sphincter Augmentation ◽

Refractory Gerd

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Clinical and Quality of Life Assessment of Patients Undergoing Laparoscopic Hiatal Hernia Repair

The American Surgeon ◽

10.1177/000313481908501135 ◽

2019 ◽

Vol 85 (11) ◽

pp. 1269-1275

Author(s):

Daniel A. Borman ◽

Kyle E. Sunshein ◽

Kyle S. Stigall ◽

Vashisht V. Madabhushi ◽

Daniel L. Davenport ◽

...

Keyword(s):

Hernia Repair ◽

Hiatal Hernia ◽

Polyglycolic Acid ◽

Life Assessment ◽

Hiatal Hernia Repair ◽

Trimethylene Carbonate ◽

Time Points ◽

Laparoscopic Hiatal Hernia Repair ◽

Postoperative Time

Hiatal hernia repair (HHR) and fundoplication are similarly performed among all hiatal hernia types with similar techniques. This study evaluates the effect of HHR using a standardized technique for cruroplasty with a reinforcing polyglycolic acid and trimethylene carbonate mesh (PGA/TMC) on patient symptoms and outcomes. A retrospective review of patient perioperative characteristics and postoperative outcomes was conducted for cases of laparoscopic hiatal hernia repair (LHHR) using a PGA/TMC mesh performed over 21 months. Gastroesophageal reflux disease symptom questionnaire responses were compared between preoperative and three postoperative time points. Ninety-six patients underwent LHHR with a PGA/TMC mesh. Post-operatively, the number of overall symptoms reported by patients decreased across all postoperative periods ( P < 0.001). Patients reported a significant reduction in antacid use long term ( P < 0.001). Laryngeal and regurgitation symptoms decreased at all time points ( P < 0.05). There was no difference in dysphagia preoperatively and postoperatively at any time point. Individuals undergoing HHR with PGA/TMC mesh experienced improved regurgitation and laryngeal symptoms, and decreased use of antacid medication.

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