Laparoscopic Mesh Repair for Hiatal Hernia

Laparoscopic hiatal hernia repair. Is the mesh hiatoplasty justified?

AIM Laparoscopic Nissen fundoplication represents the gold standard in GERD therapy, although, a frequent failure of this primary repair is represented by the breakdown of the hiatoplasty. Aim of our work is to evaluate if ultrastructural alterations of the diaphragmatic pillars in patients with hiatal hernia, can explain the physiopathology of hernia recurrence. MATERIAL OF STUDY The patient...

Biologic Keyhole Mesh in Hiatal Hernia Repair

Background and Objectives Laparoscopic paraesophageal hernia repair (LPEHR) is the new standard, but the use of mesh is still debated. Biologic mesh has shown great promise, but only the U-shaped onlay has been extensively studied. Postoperative dysphagia has historically been a concern with the use of synthetic keyhole mesh and subsequently slowed its adoption. The purpose of our study was to ...

Robot-assisted laparoscopic large hiatal hernia repair

Open versus Laparoscopic Hiatal Hernia Repair

BACKGROUND The literature reports the efficacy of the laparoscopic approach to paraesophageal hiatal hernia repair. However, its adoption as the preferred surgical approach and the risks associated with paraesophageal hiatal hernia repair have not been reviewed in a large database. METHOD The Nationwide Inpatient Sample dataset was queried from 1998 to 2005 for patients who underwent repair o...

Safe Esophageal Bougie Placement for Laparoscopic Hiatal Hernia Repair

The increased use of laparoscopy for treatment of reflux esophagitis has been associated with a 1-8% complication rate. Perforation of the esophagus from bougie placement, wrap breakdown or too tight a wrap are some of the complications seen from this surgery. An esophageal dilator system was developed to overcome these problems. Thirty patients had an esophageal dilator system used whereby a 4...