Journal
ARCHIVES OF SURGERY
Volume 137, Issue 6, Pages 649-652Publisher
AMER MEDICAL ASSOC
DOI: 10.1001/archsurg.137.6.649
Keywords
-
Categories
Funding
- NIGMS NIH HHS [1 K08 GM00703-01A1] Funding Source: Medline
Ask authors/readers for more resources
Hypothesis: Large hiatal hernias are prone to disruption, resulting in reherniation, when repaired with simple cruroplasty. The use of mesh may decrease the rate of reherniation in the laparoscopic repair of large hiatal hernias. Design: Prospective, randomized controlled trial. Setting: University-affiliated private hospital. Patients: Seventy-two individuals undergoing laparoscopic Nissen fundoplication with a hernia defect greater or equal to 8 cm, in diameter. Intervention: Nissen fundoplication with posterior cruroplasty (n=36) vs Nissen fundoplication with posterior cruroplasty and onlay of polytetrafluoroethylene (PTFE) mesh (n=36). Main Outcome Measures: Recurrences, complications, hospital stay, operative time, and cost. Results: Patients in both groups had similar hospital stays, but the PTFE group had a longer operative time. The cost of the repair was $960 +/- $70 more in the group with the prosthesis. Complications were minor and similar in both groups. There were 8 hernia recurrences (22%) in the primary repair group and none in the PTFE group (P<.006). Conclusion: The use of prosthetic reinforcement of cruroplasty in large hiatal hernias may prevent hernia recurrences.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available