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Journal of Long-Term Effects of Medical Implants

年間 4 号発行

ISSN 印刷: 1050-6934

ISSN オンライン: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Repair of the Giant Hiatal Hernia

巻 20, 発行 2, 2010, pp. 139-148
DOI: 10.1615/JLongTermEffMedImplants.v20.i2.70
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要約

The repair of hiatal hernias, specifically giant hiatal hernias, is technically challenging and controversial. The approach to repair has shifted from thoracic to open abdominal to laparoscopic, which appears to be the current standard. High recurrence rates have been reported with laparoscopic procedures, but these are anatomic recurrences that are largely asymptomatic. Symptomatic recurrences with laparoscopic procedures appear to be similar to those seen with open abdominal procedures, but without the additional morbidity conferred by laparotomy. In the last decade, several studies have reported improved rates of recurrence using prosthetic meshes that have decreased even radiologic recurrence rates to below 5%. However, this has come at the price of rare but serious complications such as erosion and fibrosis. Mesh repair appears to be associated with a higher perioperative rate of dysphagia, which tends to resolve within the intervening months. Biologic meshes have been implemented in an attempt to obtain the buttressing effect of prosthetic meshes without the complications of erosion or infection. Early results have not proven biologic meshes to be as effective in reducing recurrence rates as prosthetic meshes, but there are currently no reports of erosion. Continued research is needed to elicit the optimal type of repair and mesh.

によって引用された
  1. Mori Toshiyuki, Nagao Gen, Sugiyama Masanori, Paraesophageal Hernia Repair, Annals of Thoracic and Cardiovascular Surgery, 18, 4, 2012. Crossref

  2. Donatelli Gianfranco, Dallemagne Bernard, Perretta Silvana, Dhumane Parag, Marescaux Jacques, Fully endoscopic removal of migrated mesh after laparoscopic fundoplication eroded into the gastroesophageal junction: a case report (with video), Gastrointestinal Endoscopy, 75, 2, 2012. Crossref

  3. Obeid Nadia M., Velanovich Vic, The Choice of Primary Repair or Mesh Repair for Paraesophageal Hernia, Annals of Surgery, 257, 4, 2013. Crossref

  4. Siddaiah-Subramanya Manjunath, Memon Breda, Memon Muhammed Ashraf, Laparoscopic Repair of Paraesophageal Hiatus Hernia: Suture Cruroplasty or Prosthetic Repair, in Hiatal Hernia Surgery, 2018. Crossref

  5. Shrestha A. K., Joshi M., DeBono L., Naeem K., Basu S., Laparoscopic repair of type III/IV giant para-oesophageal herniae with biological prosthesis: a single centre experience, Hernia, 23, 2, 2019. Crossref

  6. Ceccarelli Graziano, Pasculli Alessandro, Bugiantella Walter, De Rosa Michele, Catena Fausto, Rondelli Fabio, Costa Gianluca, Rocca Aldo, Longaroni Mattia, Testini Mario, Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review, World Journal of Emergency Surgery, 15, 1, 2020. Crossref

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