Clinical efficacy and prognosis of different laparoscopic hiatal hernia repair
10.3760/cma.j.cn113855-20220525-00348
- VernacularTitle:腹腔镜食管裂孔疝修补术不同手术方式的临床疗效及预后分析
- Author:
Weigang WANG
1
;
Kunpeng QU
;
Xiaoyong TANG
;
Xiaobei ZHANG
;
Chenghui REN
;
Baoshun YANG
;
Yongjiang YU
Author Information
1. 兰州大学第一临床医学院，兰州 730000
- Keywords:
Hernia, hiatal;
Herniorrhaphy;
Fundoplication;
Laparoscopy
- From:
Chinese Journal of General Surgery
2022;37(11):830-833
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effectiveness and recurrence rate of different types of mesh or without mesh in laparoscopic hiatal hernia repair.Methods:From Jan 2016 to Mar 2022 at the three hospital 90 patients with hiatal hernia, including 26 cases without mesh, 29 cases using synthetic mesh, and 35 cases using biological mesh underwent laparoscopic hiatal hernia repair.Results:The surgical procedures was successful in all the 90 cases without conversion to open surgeny. There were no statistically significant differences in operative time, intraoperative blood loss and postoperative hospital stay among the three groups ( P>0.05), and there were statistically significant differences in hospital cost between the group without mesh and synthetic mesh and biological mesh ( P<0.05). Long-term follow-up was achieved in 87 patients, with a follow-up rate of 96.7% (87/90), and a median follow-up time of 44 months. There were no significant differences in the incidence of postoperative complications (diarrhea, dysphagia, abdominal distension, chest pain), recurrence rate of symptoms (acid reflux, heartburn) and patient satisfaction among the three groups ( P>0.05). Conclusion:In laparoscopic hiatal hernia repair, the mesh should be carefully selected according to the specific intraoperative situation for a satisfactory clinical efficacy.
