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Summary

This study was to appraise safety and feasibility of laparoscopic approach and investigate the clinical effects of laparoscopic tension-free repair of esophageal hiatal hernia using mesh. From August 2006 to July 2009, 24 patients with esophageal hiatal hernia underwent laparoscopic repair. Twenty-three patients received laparoscopic tension-free repair using mesh, at the same time, Toupet or Dor partial fundoplication was performed. One patient was converted to open surgery. The average operating time was 90 min (70–210 min) and the blood loss was between 10–110 mL. There was no death. The mean postoperative hospital stay was 5 days (3–30 days). During a follow-up period of 12–20 months (mean 15 months), there was no recurrence of the hernia, and no complication with use of mesh. The present study suggested that laparoscopic approach was secure and minimally invasive operation for esophageal hiatal hernia and the use of mesh could reduce recurrence rate.

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References

  1. Keidar A, Szold A. Laparoscopic repair of paraesophageal hernia with selective use of mesh. Surg Laparosc Endosc Percutan Tech, 2003,13(3):149–154

    Article  PubMed  Google Scholar 

  2. Mehta S, Boddy A, Rhodes M. Review of outcome after laparoscopic paraesophageal hiatal hernia repair. Surg Laparosc Endosc Percutan Tech, 2006,16(5):301–306

    Article  PubMed  Google Scholar 

  3. Ferri LE, Feldman LS, Stanbridge D, et al. Should laparoscopic paraesophageal hernia repair be abandoned in favour of open approach? Surg Endosc, 2005,19(1):4–8

    Article  PubMed  CAS  Google Scholar 

  4. Hashemi M, Peters JH, Demeester TR, et al. laparoscopic repair of large type hiatal hernia: objective follow III hiatal hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg, 2000, 190(5):553–561

    Article  PubMed  CAS  Google Scholar 

  5. Mattar SG, Bowers SP, Galloway KD, et al. Long-term outcome of laparoscopic repair of paraesophageal hernia. Surg Endosc, 2002,16(5):745–749

    Article  PubMed  CAS  Google Scholar 

  6. Oelschlager BK, Pellegrini CA, Hunter J, et al. Biologic prosthesis reduces recurrence after laparoscopic Paraesophgeal hernia repair: a multicenter, prospective, randomized trial. Ann Surg, 2006,244(4):481–490

    PubMed  Google Scholar 

  7. Granderath FA, Carlson MA, Champion JK, et al. Prosthetic closure of the esophageal hiatus in large hernia repair and laparoscopic antireflux surgery. Surg Endosc, 2006,20(3):367–379

    Article  PubMed  CAS  Google Scholar 

  8. Gryska PV, Vernon JK. Tension-free repair of hiatal hernia during laparoscopic repair fundoplication: a ten-year experience. Hernia, 2005,9(2):150–155

    Article  PubMed  CAS  Google Scholar 

  9. Hazebroek EJ, Leibman S, Smith GS. Erosion of a composite PTFE/e PTFE mesh after hiatal hernia repair. Surg Laparosc Endosc Percutan Tech, 2009,19(2):175–177

    Article  PubMed  Google Scholar 

  10. Casabella F, Sinanan M, Horgan S, et al. Systematic use of gastric fundoplication in laparoscopic repair of Paraesophgeal hernia. Ann J Surg, 1996,171(5):485–489

    Article  CAS  Google Scholar 

  11. Edelman DS. Laparoscopic Paraesophgeal hernia repair with mesh. Surg Laparosc Endosc, 1995,5(1):32–37

    PubMed  CAS  Google Scholar 

  12. Jacobs M, Gomez E, Plasencia G, et al. Use of surgisis mesh in laparoscopic repair of hiatal hernia. Surg Laparosc Endosc Percutan Tech, 2007,17(5):365–368

    Article  PubMed  Google Scholar 

  13. Fumagalli U, Bona S, Caputo M, et al. Are surgisis biomeshes effective in reducing recurrences after laparoscopic repair of large hiatal hernias? Surg Laparosc Endosc Percutan Tech, 2008,18(5):433–436

    Article  PubMed  Google Scholar 

  14. Chrysos E, Athanasakis E, Pechlivanides G, et a1. The effect of total and anterior partial fundoplication on antireflux mechanisms of the gastroesophageal junction. Am J Surg, 2004,188(1):39–44

    Article  PubMed  Google Scholar 

  15. Pessaux P, Arnaud JP, Delattre JF, et a1. Laparoscopic antireflux surgery: five-year results and beyond in 1340 patients. Arch Surg, 2005,140(10):946–951

    Article  PubMed  Google Scholar 

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Correspondence to Wen Tian  (田 文).

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Ma, B., Tian, W., Chen, L. et al. Laparoscopic repair of esophageal hiatal hernia. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 31, 231–234 (2011). https://doi.org/10.1007/s11596-011-0258-x

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  • DOI: https://doi.org/10.1007/s11596-011-0258-x

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