Surgical repair of recurrent hiatal hernia |
| |
Authors: | Mumnoon Haider Atif Iqbal Vanessa Salinas Anouki Karu Sumeet K Mittal Charles J Filipi |
| |
Institution: | (1) Department of Surgery, Creighton University School of Medicine, 2500 California Plaza, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA |
| |
Abstract: | The surgical management results of recurrent hiatal hernia repair are unknown in the laparoscopic era. The experience of the
senior authors (CJF) and (SKM) is reported herein. From 1993 to 2004, 52 patients underwent re-operative hiatal hernia surgery
at our center. Preoperative symptoms were heartburn, chest pain, dysphagia, regurgitation and pulmonary manifestations of
gastroesophageal reflux disease. Patients had preoperative evaluation by upper endoscopy, pH-monitoring, esophagogram and
manometry to assess the mechanism of failure. Pre- and postoperative symptoms were assessed utilizing a standardized questionnaire.
Patients underwent laparoscopic repair (n=18), open laparotomy (n=6) and transthoracic surgery (n=28). Ninety-five percent follow-up was achieved with a mean follow-up of 34 months. Thirty-seven percent of patients encountered
para-operative complications one of them died due to respiratory insufficiency. Five patients experienced a re-recurrent hernia.
The symptom resolution was 65% for dysphagia, 68% for heartburn, 95% for chest pain and 79% for regurgitation. The overall
patient satisfaction was 6.94 on a scale of 1–10. There was no significant difference in patient outcome when comparing the
operative approaches or disease process. Surgical repair of recurrent hiatal hernias is safe and effective. Laparoscopic surgery
is an appropriate alternative approach for recurrent hiatal hernia repair in selected patients. |
| |
Keywords: | Hiatal hernia Recurrence Surgery |
本文献已被 SpringerLink 等数据库收录! |
|