Recurrence in Paraesophageal Hernia: Patient Factors and Composite Surgical Repair in 862 Cases.

ABSTRACT:

Background

Repair of giant paraesophageal hernia (PEH) is associated with a considerable hernia recurrence rate by objective measures. This study analyzed a large series of laparoscopic giant PEH repair to determine factors associated with anatomical recurrence.

Method

Data was extracted from a single-surgeon prospective database of laparoscopic repair of giant PEH from 1991 to 2021. Upper endoscopy was performed within 12 months postoperatively and selectively thereafter. Any supra-diaphragmatic stomach was defined as anatomical recurrence. Patient and hernia characteristics and technical operative factors, including "composite repair" (360° fundoplication with esophagopexy and cardiopexy to right crus), were evaluated with univariate and multivariate analysis.

Results</

SUBMITTER: Nguyen CL 

PROVIDER: S-EPMC10837213 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature