Simple and Inexpensive Method of Creating Pledgeted Sutures for Hiatal Hernia Repair at time of Bariatric Surgery

2017 ◽  
Vol 13 (10) ◽  
pp. S149
Author(s):  
Aviv Ben-Meir ◽  
Courtney Holbrook ◽  
Dian Nutter
Keyword(s):  
Bariatric Surgery ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Inexpensive Method

scholarly journals Concomitant hiatal hernia repair during bariatric surgery: does the reinforcement make the difference?

2021 ◽  
Vol 76 (1) ◽  
Author(s):  
Cristian E. BORU ◽  
Pietro TERMINE ◽  
Pavlos ANTYPAS ◽  
Angelo IOSSA ◽  
Chiara M. CICCIORICCIO ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
The Difference

Outcomes of barbed suture hiatal hernia repair during bariatric surgery – A single institution experience

2016 ◽  
Vol 12 (7) ◽  
pp. S232
Author(s):  
David Gutierrez Blanco ◽  
Federico Perez Quirante ◽  
Lisandro Montorfano ◽  
Sherif Shalaby ◽  
Emanuele Lo Menzo ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Barbed Suture ◽  
Hiatal Hernia Repair ◽  
Single Institution

Impact of Bariatric Surgery on Hiatal Hernia Repair Outcomes

2016 ◽  
Vol 82 (8) ◽  
pp. 743-747 ◽  
Author(s):  
Victoria Sutherland ◽  
Imothy Kuwada ◽  
Keith Gersin ◽  
Connie Simms ◽  
Dimitrios Stefanidis
Keyword(s):  
Bariatric Surgery ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Recurrence Rate ◽  
Hernia Recurrence ◽  
Intraabdominal Pressure ◽  
Abdominal Pressure ◽  
Hiatal Hernia Repair ◽  
Recurrence Rates ◽  
Improvement Rate

Large hiatal hernias are notorious for their high recurrence rates after conventional repair. Recurrence rates have been described to be higher in obese patients due to increased intraabdominal pressure. We hypothesized that patients who undergo hiatal hernia repair (HHR) with bariatric surgery (BAR) will have a lower hernia recurrence rate when compared to patients who undergo HHR with fundoplication (FP) due to the decrease in intra-abdominal pressure observed with weight loss. This was an Institutional Review Board approved retrospective review. The outcomes of patients who underwent HHR+BAR as well as patients who had HHR+FP only from 2007 to 2014 were reviewed. Patients who had small hiatal hernias (<2 cm), underwent an anterior repair, or had gastropexy only were excluded. The primary outcome was hernia recurrence and reflux resolution. The outcomes of 58 patients who had HHR+BAR were compared with 30 patients with HHR+FP. Hernia recurrence rate for HHR+BAR was 12 per cent, whereas hernia recurrence rate for HHR+FP was 38 per cent ( P < 0.01). Reflux resolution for HHR+FP was 78 per cent, whereas reflux improvement rate for HHR+BAR was 84 per cent ( P = n.s.). Combining HHR with BAR leads to a lower hernia recurrence rate when compared to patients who undergo HHR with FP.

scholarly journals Concurrent hiatal hernia repair and bariatric surgery: outcomes after sleeve gastrectomy and Roux-en-Y gastric bypass

2021 ◽  
Vol 17 (1) ◽  
pp. 72-80
Author(s):  
Kristina H. Lewis ◽  
Katherine Callaway ◽  
Stephanie Argetsinger ◽  
Jamie Wallace ◽  
David E. Arterburn ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Surgery Outcomes

Outcomes of hiatal hernia repair during bariatric surgery – A single institution experience

2016 ◽  
Vol 12 (7) ◽  
pp. S217-S218
Author(s):  
David Gutierrez Blanco ◽  
Federico Perez Quirante ◽  
Lisandro Montorfano ◽  
Sherif Shalaby ◽  
Emanuele Lo Menzo ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Single Institution

Outcomes of Bariatric Surgery With Concomitant Hiatal Hernia Repair Using an Absorbable Tissue Matrix

2021 ◽  
pp. 000313482110234
Author(s):  
Michael W. Love ◽  
Daniel F. Verna ◽  
Shanu N. Kothari ◽  
John D. Scott
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Medical Center ◽  
Academic Medical Center ◽  
Common Finding ◽  
Hiatal Hernia Repair ◽  
Tissue Matrix

Background Hiatal hernias are a common finding in patients who undergo bariatric surgery with an incidence of about 20% of all bariatric patients. Controversy exists on the utility of a biosynthetic tissue matrix (BTM) usage in combination with crural repair. This study was designed to explore the safety and benefits of the use of a BTM during concomitant hiatal hernia repair with bariatric surgical procedures. Methods This was a retrospective chart review of bariatric surgical patients who underwent a concomitant hiatal hernia repair at a single practice at a tertiary academic medical center from January 2014 to February 2019. Results A total of 420 patients were reviewed. Hiatal BTM reinforcement, recurrence, and postoperative proton pump inhibitor use were reported by type of operation. Recurrence was higher in gastric bypass patients who underwent hiatal hernia repair with suture cruroplasty alone vs. those who also underwent hiatal BTM reinforcement (7.1% vs. 3.7%, P = .52) and significantly higher in gastric sleeve patients who underwent hiatal hernia repair with suture cruroplasty alone vs. those who also underwent hiatal BTM reinforcement (7.1% vs. .5%, P = .01). No patient required reoperation for hiatal hernia recurrence. Discussion Performing Roux-en-Y gastric bypass or vertical sleeve gastrectomy with concomitant hiatal hernia repair is safe and durable. Employing crural reinforcement with BTM may be of benefit in reducing recurrence rates of hiatal hernia, particularly in sleeve gastrectomy patients.

scholarly journals Trans-hiatal herniation following esophagectomy or gastrectomy: retrospective single-center experiences with a potential surgical emergency

Hernia ◽  
2021 ◽  
Author(s):  
P. U. Oppelt ◽  
I. Askevold ◽  
R. Hörbelt ◽  
F. C. Roller ◽  
W. Padberg ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Surgical Repair ◽  
Clinical Symptoms ◽  
Gastrointestinal Symptoms ◽  
Case Series ◽  
Gastric Surgery ◽  
Hiatal Hernia Repair ◽  
Single Center ◽  
Asymptomatic Patients

Abstract Purpose Trans-hiatal herniation after esophago-gastric surgery is a potentially severe complication due to the risk of bowel incarceration and cardiac or respiratory complaints. However, measures for prevention and treatment options are based on a single surgeon´s experiences and small case series in the literature. Methods Retrospective single-center analysis on patients who underwent surgical repair of trans-hiatal hernia following gastrectomy or esophagectomy from 01/2003 to 07/2020 regarding clinical symptoms, hernia characteristics, pre-operative imaging, hernia repair technique and perioperative outcome. Results Trans-hiatal hernia repair was performed in 9 patients following abdomino-thoracic esophagectomy (40.9%), in 8 patients following trans-hiatal esophagectomy (36.4%) and in 5 patients following conventional gastrectomy (22.7%). Gastrointestinal symptoms with bowel obstruction and pain were mostly prevalent (63.6 and 59.1%, respectively), two patients were asymptomatic. Transverse colon (54.5%) and small intestine (77.3%) most frequently prolapsed into the left chest after esophagectomy (88.2%) and into the dorsal mediastinum after gastrectomy (60.0%). Half of the patients had signs of incarceration in pre-operative imaging, 10 patients underwent emergency surgery. However, bowel resection was only necessary in one patient. Hernia repair was performed by suture cruroplasty without (n = 12) or with mesh reinforcement (n = 5) or tension-free mesh interposition (n = 5). Postoperative pleural complications were most frequently observed, especially in patients who underwent any kind of mesh repair. Three patients developed recurrency, of whom two underwent again surgical repair. Conclusion Trans-hiatal herniation after esophago-gastric surgery is rare but relevant. The role of surgical repair in asymptomatic patients is disputed. However, early hernia repair prevents patients from severe complications. Measures for prevention and adequate closure techniques are not yet defined.

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