Does crural repair with biosynthetic mesh improve outcomes of revisional surgery for recurrent hiatal hernia?

ABSTRACT:

Background

Laparoscopic revisional surgery for recurrent hiatal hernia (HH) is technically demanding. Re-recurrences are common and esophageal hiatus mesh reinforcement might improve durability of the repair, thus minimizing the risk of re-herniation.

Purpose

Assess safety and effectiveness of simple suture repair (no mesh group) vs. crural augmentation with a biosynthetic absorbable mesh (mesh group) in patients with recurrent HH.

Methods

Observational retrospective study from September 2012 to December 2022. Only patients undergoing redo surgery for previous failures of hiatal hernia repair were enrolled. Surgical failure was defined as symptomatic recurrent HH with > 2 cm of gastric tissue above the diaphragmatic impression at upper gastrointestinal endoscopy and/o

SUBMITTER: Panici Tonucci T 

PROVIDER: S-EPMC11450103 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature