ArticleSurgical endoscopy2009
Long-term results of hiatal hernia mesh repair and antireflux laparoscopic surgery.
Article in Surgical endoscopy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 111 citations in OpenAlex.
- Mesh-related complications in paraoesophageal repair: a systematic review.Surgical endoscopy · 2020Pooled it
- A systematic review and meta-analysis of mesh vs suture cruroplasty in laparoscopic large hiatal hernia repair.American journal of surgery · 2016Pooled it
- Short- and long-term results of laparoscopic versus open anti-reflux surgery: a systematic review and meta-analysis of randomized controlled trials.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Pooled it
- EAES recommendations for the management of gastroesophageal reflux disease.Surgical endoscopy · 2014Guideline
- Postoperative quality of life after minimally invasive repair of giant hiatal hernias.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Removal of the sac during surgery for the repair of "giant" paraesophageal hernias.World journal of gastrointestinal surgery · 2025Article
- 3D mesh-augmented hiatal hernia repair in patients with GERD: A 3-year single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Mesh vs. non-mesh repair of type I hiatal hernias: a propensity-score matching analysis of 6533 patients from the Herniamed registry.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Novel "starburst" mesh configuration for paraesophageal and recurrent hiatal hernia repair: comparison with keyhole mesh configuration.Surgical endoscopy · 2023Article
- Hiatal hernia repair: prevention of mesh erosion and migration into the esophagogastric junction.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2020Article
- Mesh erosion after hiatal hernia repair: the tip of the iceberg?Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Assessment of short-term outcome with TiOBMC surgery · 2019Article
- Laparoscopic repair of type III/IV giant para-oesophageal herniae with biological prosthesis: a single centre experience.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- [Hiatus hernia : Standards and controversies in diagnostics and treatment].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Article
- Primary paraesophageal hernia repair with Gore® Bio-A® tissue reinforcement: long-term outcomes and association of BMI and recurrence.Surgical endoscopy · 2018Article
- Routine use of mesh during hiatal closure is safe with no increase in adverse sequelae.Surgical endoscopy · 2018Article
- Approach to asymptomatic paraesophageal hernia: watchful waiting or elective laparoscopic hernia repair?Surgical endoscopy · 2018Article
- Long-term results and complications related to CrurasoftHernia : the journal of hernias and abdominal wall surgery · 2017Article
- [Operative treatment of hiatus hernia : Evidence on mesh inlay].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Review
- Observational
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic antireflux surgery (LARS) represents the gold standard in the treatment of gastroesophageal reflux disease with or without hiatal hernia. It offers excellent long-term results and high patient satisfaction. Nevertheless, several studies have reported a high rate of intrathoracic wrap migration or paraesophageal hernia recurrence. To reduce the incidence of this complication, the use of prosthetic meshes has been advocated. This study retrospectively evaluated the long-term results of LARS with or without the use of a mesh in a series of patients treated from 1992 to 2007.
methodsFrom November 1992 to May 2007, 297 patients underwent laparoscopic antireflux surgery in the authors' department. Crural closure was performed by means of two or three interrupted nonabsorbable sutures for 93 patients (group A), by tailored 3 x 4-cm polypropylene mesh placement for 113 patients (group B), and by nonabsorbable suture plus superimposed tailored mesh for 91 patients (group C).
resultsThe mean follow-up period for the entire group was 95.1 +/- 38.7 months, specifically 95.2 +/- 49 months for group A, 117.6 +/- 18 months for group B, and 69.3 +/-.17.6 months for group C. Intrathoracic Nissen wrap migration or hiatal hernia recurrence occurred for nine patients (9.6%) in group A, two patients (1.8%) in group B, and only one patient (1.1%) in group C. Esophageal erosion occurred in only one case (0.49%). Functional results and the long-term quality-of-life evaluation after surgery showed a significant and durable improvement with no significant differences related to the type of hiatoplasty.
conclusionOver a long-term follow-up period, the use of a prosthetic polypropylene mesh in the crura for hiatal hernia proved to be effective in reducing the rate of postoperative intrathoracic wrap migration or hernia recurrence, with a very low incidence of mesh-related complications.
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