Journal ArticleDOI
Long-term results and complications related to Crurasoft® mesh repair for paraesophageal hiatal hernias
Pablo Priego,J. Pérez de Oteyza,Julio Galindo,P. Carda,Francisca García-Moreno,G. Rodríguez Velasco,Eduardo Lobo +6 more
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TLDR
The use of meshes in the hiatus keeps on being controversial due to the severe complications related to them, and the recurrence rate in patients with a Crurasoft® mesh (Bard) is acceptable, however, the rate of postoperative complications and mortality is excessive.Citations
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Surgical Treatment of Paraesophageal Hernias: A Review.
TL;DR: The goal of this review is to shed light and describe the classification, pathophysiology, clinical presentation, and indications for treatment of PEHs, and provide an overview of the surgical management and a description of the technical principles of the repair.
Journal ArticleDOI
Mesh-related complications in paraoesophageal repair: a systematic review
TL;DR: Mesh-related complication is rare with dysphagia a common presenting feature and a mesh registry with long-term longitudinal data would help in understanding the true incidence of mesh-related complications.
Journal ArticleDOI
Primary versus redo paraesophageal hiatal hernia repair: a comparative analysis of operative and quality of life outcomes
H. Reza Zahiri,Adam S. Weltz,Udai S. Sibia,Neethi Paranji,Steven D Leydorf,George T. Fantry,Adrian Park,Adrian Park +7 more
TL;DR: Although redo PEH repairs are more complex, patients enjoy equivalent operative outcomes and quality of life benefits compared to initial surgery lending support to the significance of surgeon experience and high-volume centers in optimizing outcomes.
Journal ArticleDOI
Massive hiatal hernia involving prolapse of the entire stomach and pancreas resulting in pancreatitis and bile duct dilatation: a case report
TL;DR: A rare massive hiatal hernia, involving the stomach and pancreatic body and tail, can cause acute pancreatitis with bile duct dilatation with flexure of the main pancreatic and extrahepatic biles ducts.
Journal ArticleDOI
Paraesophageal Hiatal Hernia Repair With Urinary Bladder Matrix Graft.
Raelina S. Howell,Melissa Fazzari,Patrizio Petrone,Alexander Barkan,Keneth Hall,María José Servide,María Fernanda Anduaga,Collin E. Brathwaite +7 more
TL;DR: Hiatal hernia repair with UBM reinforcement can be performed safely with no increase in postoperative complications, and there was no difference in median length of stay or 30-day readmission rate.
References
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Journal ArticleDOI
Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial.
Brant K. Oelschlager,Carlos A. Pellegrini,John G. Hunter,Nathaniel J. Soper,Michael Brunt,Brett C. Sheppard,Blair A. Jobe,Nayak L. Polissar,Lee M. Mitsumori,James A. Nelson,Lee L. Swanstrom +10 more
TL;DR: Adding a biologic prosthesis during LPEHR reduces the likelihood of recurrence at 6 months, without mesh-related complications or side effects.
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A Prospective, Randomized Trial of Laparoscopic Polytetrafluoroethylene (PTFE) Patch Repair vs Simple Cruroplasty for Large Hiatal Hernia
TL;DR: The use of prosthetic reinforcement of cruroplasty in large hiatal hernias may prevent hernia recurrences and the cost of the repair was $960 +/- $70 more in the group with the prosthesis.
Journal ArticleDOI
Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial.
Brant K. Oelschlager,Carlos A. Pellegrini,John G. Hunter,Michael Brunt,Nathaniel J. Soper,Brett C. Sheppard,Nayak L. Polissar,Moni B. Neradilek,Lee M. Mitsumori,Charles A. Rohrmann,Lee L. Swanstrom +10 more
TL;DR: There does not appear to be a higher rate of complications or side effects with biologic mesh, but its benefit in reducing HH recurrence diminishes at long-term follow-up (more than 5 years postoperatively) or earlier.
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Mesh complications after prosthetic reinforcement of hiatal closure: A 28-case series
Rudolf J. Stadlhuber,Amr El Sherif,Sumeet K. Mittal,Robert J. Fitzgibbons,L. Michael Brunt,John G. Hunter,Tom R. DeMeester,Lee L. Swanstrom,C. Daniel Smith,Charles J. Filipi +9 more
TL;DR: Complications related to synthetic mesh placement at the esophageal hiatus are more common than previously reported and Multicenter prospective studies are needed to determine the best method and type of mesh for implantation.
Journal ArticleDOI
Laparoscopic Nissen fundoplication with prosthetic hiatal closure reduces postoperative intrathoracic wrap herniation: preliminary results of a prospective randomized functional and clinical study.
TL;DR: Laroscopic Nissen fundoplication with prosthetic cruroplasty is an effective procedure to reduce the incidence of postoperative hiatal hernia recurrence and intrathoracic wrap herniation after laparoscopic antireflux surgery.