| ORIGINAL ARTICLE |
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| Year : 2022 | Volume
: 18
| Issue : 2 | Page : 248-253 |
Laparoscopic giant hiatal hernia repair with absorbable mesh
Massimiliano Ardu1, Damiano Bisogni1, Alessandro Bruscino1, Rosaria Tucci1, Massimo Falchini2, Andrea Valeri1, Paolo Prosperi1
1 Emergency Surgery Unit, DEA Department, Careggi University Hospital, Florence, Italy
2 Sperimental and Clinical Science Department “Mario Serio”, Florence University, Florence, Italy
Correspondence Address:
Massimiliano Ardu
Emergency Surgery Unit, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3 50134, Florence
Italy
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jmas.JMAS_26_21
Background: The best operative approach to large hiatal hernias still remains controversial between suture cruroplasty and prosthetic hiatal herniorrhaphy. This study aims at analysing results from a single institution in Italy in terms of subjective and objective outcomes.
Methods: Retrospectively collected data of all patients that underwent laparoscopic hiatal hernia repair since 2011 were considered. Sixty-five patients were included overall; 17 of them fit the criteria of large hiatal hernia. Follow-up (FU) was assessed by visit, questionnaires and X-ray imaging.
Results: No major complications occurred in the post-operative course. No patient was lost during the FU period. Out of all the patients included, 13 agreed to have an X-ray with water-soluble contrast. The questionnaires showed a 76.5% rate of satisfaction (13 patients), and the recurrence rate demonstrated by radiology was 29.4% (five patients). There were no major mesh-related complications.
Conclusion: The best operative approach for large hiatal hernias remains far from standardised: There is a lack of evidence on the use of a mesh for this kind of surgery as well as substantial controversy over the definition of what a giant hiatal hernia is. Nevertheless, the results from this study and the main studies in the literature seem to be encouraging in improving giant hiatal hernia repair outcomes.
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