Tension-free repair of hiatal hernia during laparoscopic fundoplication: a ten-year experience

Abstract

Mesh repair/patch of the esophageal hiatus can be done without infection, with results similar to standard crural repair and consistent with surgical principles of non-tension.

Mesh-reinforced hiatal hernia repair: a review on the effect on postoperative dysphagia and recurrence

“…Frantzides et al used a 13×10-cm oval-shaped ePTFE mesh in large hiatal hernias (>8 cm) and reported no recurrences in their study population for a mean follow-up period of 3.3 years (range, 6 months-6 years) [7]. Similar results were exhibited by Gryska et al, who used either PTFE or composite ePTFE/ PTFE meshes in a triangular or V-formed shape [11]. The hiatoplasty was complicated with postoperative dysphagia in over 15% of their patients.…”

“…The range of recurrence rates of studies performing routine sutured mesh hiatoplasty ranged between 0% and 35.6%, with a median of 1.9%. Data of studies performing a tension-free hiatoplasty are scarce, with only three studies being available [4,11,24]. In these terms, a recurrence rate of 1.4% in a cumulative number of 284 patients was achieved.…”

“…The largest prospective series reporting on PP application demon- [4] 2000 NR 70 GERD and/or hiatal hernia Kamolz et al [5] 2002 Prospective 100 NR Granderath et al [6] 2002 NR 170 GERD symptomatology, LESP <6 mmHg Frantzides et al [7] 2002 Prospective 36 Hiatal defect >8 cm Champion and Rock [8] 2003 Retrospective 52 GERD symptomatology, hiatal defect >5 cm Casaccia et al [9] 2005 Retrospective 27 Paraesophageal hernia Granderath et al [10] 2005 Prospective 50 GERD Gryska et al [11] 2005 NR 135 GERD symptomatology, paraesophageal hernia, hernia recurrence Oelschlager et al [12] 2006 Prospective 51 Symptomatic paraesophageal hernia…”

Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series

“…Although several clinical studies with significant patient numbers [5,[19][20][21] demonstrate the safety and effectiveness of synthetic mesh reinforcement during hiatal hernia repair, a recent literature review reveals 11 articles (Table 1) describing 14 mesh-related complications. The true rate of mesh complication after cruroplasty reinforcement is unknown but series report complication rates from 1.3% [16] to 20% [12,14].…”

Laparoscopic Revision of Failed Fundoplication and Hiatal Herniorraphy

“…16,24 We and others advocate the use of mesh reinforcement of hiatal hernia repair in order to decrease the hernia recurrence. 13,17,[36][37][38] The efficacy of PTFE reinforcement in hiatal herniorraphy has been demonstrated in a randomized trial. 13 Our current indication for mesh utilization is a hiatal defect greater than 5 cm.…”