Clinical and Quality of Life Assessment of Patients Undergoing Laparoscopic Hiatal Hernia Repair
| Autor: | Kyle E. Sunshein, Daniel A. Borman, Margaret A. Plymale, Vashisht Madabhushi, Kyle Stigall, Daniel L. Davenport, John Scott Roth |
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| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | The American Surgeon. 85:1269-1275 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313481908501135 |
| Popis: | Hiatal hernia repair (HHR) and fundoplication are similarly performed among all hiatal hernia types with similar techniques. This study evaluates the effect of HHR using a standardized technique for cruroplasty with a reinforcing polyglycolic acid and trimethylene carbonate mesh (PGA/TMC) on patient symptoms and outcomes. A retrospective review of patient perioperative characteristics and postoperative outcomes was conducted for cases of laparoscopic hiatal hernia repair (LHHR) using a PGA/TMC mesh performed over 21 months. Gastroesophageal reflux disease symptom questionnaire responses were compared between preoperative and three postoperative time points. Ninety-six patients underwent LHHR with a PGA/TMC mesh. Post-operatively, the number of overall symptoms reported by patients decreased across all postoperative periods ( P < 0.001). Patients reported a significant reduction in antacid use long term ( P < 0.001). Laryngeal and regurgitation symptoms decreased at all time points ( P < 0.05). There was no difference in dysphagia preoperatively and postoperatively at any time point. Individuals undergoing HHR with PGA/TMC mesh experienced improved regurgitation and laryngeal symptoms, and decreased use of antacid medication. |
| Databáze: | OpenAIRE |
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