Trial reportJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2012
Laparoscopic paraesophageal hernia repair: defining long-term clinical and anatomic outcomes.
Trial report in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
53 citing papers in PubMed, 6 syntheses or guidelines pooled it, 132 citations in OpenAlex.
- BIO-A versus Phasix biosynthetic mesh in minimally invasive hiatal hernia repair: systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Management of recurrent hiatal hernia: a systematic review and meta-analysis comparing mesh versus no mesh reinforcement.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- EAES Multidisciplinary Rapid Guideline: systematic review, meta-analysis, GRADE assessment and evidence-informed recommendations on the surgical management of paraesophageal hernias.Surgical endoscopy · 2023Guideline
- Robotic paraesophageal hernia repair: a single-center experience and systematic review.Journal of robotic surgery · 2018Pooled it
- EAES recommendations for the management of gastroesophageal reflux disease.Surgical endoscopy · 2014Guideline
- Mesh in laparoscopic large hiatal hernia repair: a systematic review of the literature.Surgical endoscopy · 2013Pooled it
- Total versus partial posterior fundoplication in the surgical repair of para-oesophageal hernias: randomized clinical trial.BJS open · 2022Trial
- The laparoscopic Nissen-Hill hybrid: pilot study of a combined antireflux procedure.Surgical endoscopy · 2013Trial
- Too old to operate? Retrospective outcomes of laparoscopic paraesophageal hernia repair in nonagenarians.Surgical endoscopy · 2026Article
- A retrospective comparative study comparing laparoscopic and robotic hiatal hernia repair: surgical outcomes, recurrence rate, and postoperative morbidity.Journal of robotic surgery · 2026Article
- A Historical and Scientific Review of Anti-Reflux Surgery: Evolution, Evidence, and Future Directions.Current gastroenterology reports · 2026Review
- Three-dimensional computed tomography reconstruction of the gastroesophageal junction following hiatal hernia repair with Collis gastroplasty and fundoplication: a novel method to demonstrate postoperative morphology and better understand hiatal hernia recurrence.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026Article
- Evaluation of the safety and effectiveness of crural reinforcement with bio-aHernia : the journal of hernias and abdominal wall surgery · 2025Article
- Concurrent hiatal hernia repair and gastric bypass as an adjunct in the treatment of hiatal hernia in populations with obesity.Surgical endoscopy · 2025Article
- Article
- Patient reported outcomes and decision regret scores in redo-paraesophageal hernia repair.Surgical endoscopy · 2025Article
- Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation.BMC surgery · 2025Article
- Is mesh essential in laparoscopic hiatal hernia repair? analysis of 30-day outcomes from the ACS-NSQIP database over eight years.Frontiers in surgery · 2025Article
- Patients report significant improvement in quality of life following hiatal hernia repair-despite recurrence.Surgical endoscopy · 2024Article
- Paraesophageal hernia recurrence following repair: making the case for reoperative surgery in a propensity-matched cohort.Surgical endoscopy · 2024Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe recently reported in a multi-institutional, randomized study of laparoscopic paraesophageal hernia repair (LPEHR) that the anatomic recurrence rate at a median of approximately 5 years was >50%. This study focuses exclusively on the symptomatic response to LPEHR and its relationship with the development of a recurrent hernia.
methodsDuring 2002 to 2005, 108 patients underwent LPHER with or without biologic mesh. A standardized symptom severity questionnaire, SF-36 health survey, and upper gastrointestinal series were performed at baseline, 6 months, and during 2008-2009.
resultsOf 108 patients, 72 (average age of 68 ± 10 years) underwent clinical assessment, and 60 of them also had radiologic studies at a median follow-up of 58 (40-78) months. Radiographic recurrence (≥ 20 mm) was 14% at 6 months and 57% at the time of follow-up, and the average recurrence size was 40 ± 10 mm. All symptoms were significantly improved at long-term follow-up and, with the exception of heartburn, were unaffected by the presence or size of the recurrence. Two patients (3%) with recurrent symptoms related to their hernia underwent reoperation.
conclusionDespite frequent radiologic recurrences after LPEHR, symptoms remain well controlled, patient satisfaction is high, and the need for reoperation is low.
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