Routine Esophagograms After Hiatus Hernia Repair Minimizes Reoperative Morbidity
| Autor: | David I. Watson, James Grantham, Tim Bright, David Shi Hao Liu, Lachlan Dandie, Xuanyu Zhou, Sarah K. Thompson, Tanya Irvine, Bee S. Ong, Jonathan Shenfine, Melissa Y Wee, Stephanie G Ng, Minh-Son To |
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| Rok vydání: | 2021 |
| Předmět: |
Reoperation
medicine.medical_specialty Perforation (oil well) Asymptomatic Cohort Studies Postoperative Complications Recurrence medicine Humans Hernia In patient Herniorrhaphy Esophageal Obstruction Hiatal hernia repair business.industry Surgical Mesh medicine.disease Surgery Hernia Hiatal Cohort Laparoscopy Morbidity medicine.symptom business Cohort study |
| Zdroj: | Annals of Surgery. 276:e770-e776 |
| ISSN: | 0003-4932 |
| DOI: | 10.1097/sla.0000000000004812 |
| Popis: | OBJECTIVE Determine the utility of routine esophagograms following hiatus hernia repair and its impact on patient outcomes. BACKGROUND Hiatus hernia repairs are common. Early complications such as re-herniation, esophageal obstruction and perforation, although infrequent, incur significant morbidity. Whether routine postoperative esophagograms enable early recognition of these complications, expedite surgical management, reduce reoperative morbidity, and improve functional outcomes are unclear. METHODS Analysis of a prospectively-maintained database of hiatus hernia repairs in 14 hospitals, and review of esophagograms in this cohort. RESULTS 1829 hiatus hernias were repaired. Of these, 1571 (85.9%) patients underwent a postoperative esophagogram. Overall, 1 in 48 esophagograms resulted in an early ( |
| Databáze: | OpenAIRE |
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