ArticleSurgical endoscopy2013
Laparoscopic repair of giant hiatus hernia: prosthesis is not required for successful outcome.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.
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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.
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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.
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Who cites it
13 citing papers in PubMed.
- Durability of giant hiatus hernia repair in 455 patients over 20 years.Annals of the Royal College of Surgeons of England · 2015Trial
- A real-time metric for quantifying registration stability in mixed reality neurosurgical navigation.International journal of computer assisted radiology and surgery · 2026Article
- Hiatal hernia recurrences after laparoscopic surgery: exploring the optimal technique.Surgical endoscopy · 2023Article
- Minimally invasive surgery for large hiatal hernia.Annals of gastroenterological surgery · 2019Review
- Article
- Long-term results and complications related to CrurasoftHernia : the journal of hernias and abdominal wall surgery · 2017Article
- Medium-term durability of giant hiatus hernia repair without mesh.Annals of the Royal College of Surgeons of England · 2016Article
- Recurrence after composite repair of a giant hiatus hernia: 'the golf club' deformity is a distinctive clinical and radiological picture.Annals of the Royal College of Surgeons of England · 2016Article
- Diaphragmatic crural augmentation utilising cross-linked porcine dermal collagen biologic mesh (Permacol) in the repair of large and complex para-oesophageal herniation: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- First human magnetic resonance visualisation of prosthetics for laparoscopic large hiatal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Massive hiatus hernia complicated by jaundice.Journal of surgical case reports · 2015Article
- A technique for the laparoscopic repair of paraoesophageal hernia without mesh.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Article
- Quality of life after giant hiatus hernia repair: A systematic review.Journal of minimal access surgeryReview
Corrections and comments
- Erratum issuedWong, Simon K [corrected to Wong, Simon C K]
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiant hiatus hernia (GHH) are difficult to manage effectively. This study reports a laparoscopic, prosthesis-free technique to repair of GHH.
methodsRetrospective analysis of a prospectively populated database of a single surgeon's experience of GHH (>30 % intrathoracic stomach) repair using a novel, uniform technique was performed. Routine postoperative endoscopy, quality of life (QOL), and Visick scoring was conducted.
resultsSurgery was conducted in 100 patients (70F, 30 M). Mean (standard deviation [SD]) age was 69.1 (±11.4), median (interquartile range) ASA was 2 (range, 2-3), and mean (SD) body mass index (BMI) was 29.1 (±4.5). Mean follow-up was 574.1 (±240.5) days. One (1 %) patient was converted to an open procedure due to technical issues. Median stay was 2.5 days (range, 2-4). One postoperative death occurred secondary to respiratory sepsis. Eight (8 %) patients had perioperative complications: 4 major (PE, non-ST elevation MI, postoperative bleed managed conservatively, infected mediastinal fluid collection); and 4 minor (pneumothorax, asymptomatic troponin leak, subacute small bowel obstruction, and urinary retention). Ninety-nine (99 %) patients had objective screening for recurrence at 3-6 months. Two (2 %) patients have had symptomatic recurrence of their hiatus hernia; both involved a recurrent fundal herniation. Another seven (7 %) had small (<2 cm), asymptomatic recurrences diagnosed only on routine follow-up. Seven (7 %) patients have required reintervention for dysphagia with endoscopic dilatation conducted to good effect in all cases. Two (2 %) patients have required revisional surgery: one for a symptomatic recurrence at 3 months and a second for recurrent mediastinal collection. The Visick score fell from a mean (SD) of 3 (±1.1) to 1.7 (±0.8) postoperatively (p < 0.0001). The mean (SD) QOL preoperatively was 87.8 (±24) versus 109.1 (±22.3) postoperatively (p < 0.0001).
conclusionsGHH can be managed safely and effectively laparoscopically, without the use of a prosthesis.
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Registered trials
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