Long-term outcome of laparoscopic Nissen-Rossetti fundoplication versus Thal fundoplication in children with esophageal hiatal hernia: a retrospective report from two children’s medical centers in Shanghai

Hu, Jimeng; Hu, Ming; Wu, Yeming; Wang, Jun; Yan, Zhilong; Zhang, Chi; Pan, Weihua; Xia, Hao

doi:10.1007/s12519-015-0034-2

Cited by 8 publications

(8 citation statements)

References 24 publications

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“…Another point of controversy refers to the fundoplication technique. Hu et al retrospectively compared Nissen-Rossetti (n = 72) and Thal (n = 60) laparoscopic fundoplication in children with HH, and found longer period to full feeding (p = 0.004) and more esophageal stenosis (p = 0.007) in the Nissen-Rossetti technique, although the difference was only for slight stenosis, since there was no difference for severe cases (p = 0.380), which is in accordance to findings in the present study [9].…”

Section: Discussionsupporting

confidence: 91%

“…The literature search revealed 258 articles, with ten studies meeting the inclusion criteria [1,[9][10][11][12][13][14][15][16][17], as detailed in the flow diagram ( Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…Up to date, there is no convincing evidence to suggest that one technique is superior to the others, and most surgeons perform the procedure with which they are most familiar [9,16,20].…”

Section: Discussionmentioning

confidence: 99%

“…In cases of type-I HH, surgery is usually indicated in the event of medically intractable GERD or its complications [3]. In any case, the procedure aims to return the herniated contents into the abdominal cavity and to repair the hiatus [8,9]. Laparoscopy has become the approach of choice for the management of HH in most centers [1].…”

Section: Introductionmentioning

confidence: 99%

“…There is little pediatric published data on this topic [9], and this is the first systematic review on management of HH in pediatric patients. The aim of this study was to analyze outcomes of laparoscopic approach in this age group, with focus on type of HH, associated fundoplication, conversions, recurrence, follow-up and mortality.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Costa

Saxena

2020

J Ped Endosc Surg

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Purpose This study reviewed outcomes on laparoscopic management of hiatus hernia (HH) in the pediatric age group. Methods MEDLINE/PubMed was reviewed. Studies in patients ≤ 17 years and published in English/Portuguese/Spanish were included, and selected by two reviewers. Data was collected for previous surgery, neurological impairment, type of HH, associated fundoplication, surgical technique, conversions, recurrence, follow-up and mortality. Results are presented as percentages and means. Fisher's Exact Test was used to evaluate categorical variables, and statistical difference was considered when p ≤ 0.05. Results Ten articles with n = 171 met the inclusion criteria. Mean age were 66.1 months (range newborn-17 years) with male predominance (n = 110, 64.3%). Neurological impairment was reported in 10/35 children, but the information was not available for the majority of cases (n = 136; 79.5%). Type-I HH was reported in 15 children, type-II in seven, type-III in eight, and it was not specified in n = 141 (82.5%). Surgical correction was associated with fundoplication in n = 170 (99.4%; n = 99 Nissen, n = 68 Thal, n = 3 not specified). Patch was not used in the majority of cases (n = 167, 97.7%). There were seven conversions (4.1%), five recurrences (2.9%) and no mortality. Complications were reported in n = 27 (15.8%), esophageal stenosis being the most common (n = 24; only five required treatment). Mean follow-up was 19.7 months (range 1-138 months). Conclusions Pediatric reporting on laparoscopic HH management is scarce, and important information is frequently omitted (e.g., neurological impairment, type of HH). The preferred approach is associated with Nissen/Thal fundoplication without patch. Recurrence occurred in less than 3% of the cases, and complications are minor, without mortality.

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Section: Discussionsupporting

confidence: 91%

“…The literature search revealed 258 articles, with ten studies meeting the inclusion criteria [1,[9][10][11][12][13][14][15][16][17], as detailed in the flow diagram ( Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…Up to date, there is no convincing evidence to suggest that one technique is superior to the others, and most surgeons perform the procedure with which they are most familiar [9,16,20].…”

Section: Discussionmentioning

confidence: 99%