ArticleWorld journal of surgery2016
Laparoscopic Hiatal Hernia Repair in the Elderly Patient.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 22 citations in OpenAlex.
- Randomized clinical trial comparing laparoscopic hiatal hernia repair using sutures versus sutures reinforced with non-absorbable mesh.Surgical endoscopy · 2018Trial
- Frailty predicts recurrence after laparoscopic Nissen fundoplication with mesh cruroplasty for giant sliding hiatal hernia with severe reflux esophagitis in elderly patients: a multicenter retrospective study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- One-year outcomes of biological mesh in hiatal hernia repair: a real-world study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Impact of Age on Long-Term Outcomes of Laparoscopic Nissen Fundoplication-A Single Center Study.Medicina (Kaunas, Lithuania) · 2024Article
- Determining the need for a thoracoscopic approach to treat a giant hiatal hernia when abdominal access is poor.World journal of gastrointestinal surgery · 2023Article
- Hiatal Hernia Repair and Anti-Reflux Surgery in Older Patients: A Brief Communication.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Surgical Repair of Large Hiatal Hernias: Insight from a High-Volume Center.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Article
- Laparoscopic fundoplication for para-oesophageal hernia repair improves respiratory function in patients with dyspnoea: a prospective cohort study.Surgical endoscopy · 2022Article
- Large hiatus hernia: time for a paradigm shift?BMC surgery · 2022Article
- Laparoscopic repair of giant hiatal hernia for elderly patients.Annals of translational medicine · 2021Article
- Age-related outcomes in laparoscopic hiatal hernia repair: Is there a "too old" for antireflux surgery?Surgical endoscopy · 2021Article
- Morbidity and mortality in complex robot-assisted hiatal hernia surgery: 7-year experience in a high-volume center.Surgical endoscopy · 2019Article
- Volume and outcomes relationship in laparoscopic diaphragmatic hernia repair.Surgical endoscopy · 2017Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHiatal hernias (HH) are more common among elderly patients, with an increase in incidence with advancing age. Elderly patients frequently suffer from comorbidity, causing them to have an increased risk of perioperative mortality and morbidity. The aim of this study is to assess the safety of this procedure within elderly patients.
methodsWe performed a retrospective analysis of all patients with HH operated between July 2009 and May 2015 at two hospitals in the Netherlands specialized in antireflux surgery and HH repair. Mortality rates and short- and long-term morbidity rates were compared between patients aged under 70 years and aged over 70 years.
resultsA total of 204 consecutive patients underwent laparoscopic HH repair at our institutions, of whom 121 were aged under 70 years and 83 were aged over 70 years. There was no mortality intraoperatively, nor during 30-days follow-up. Intraoperative complications occurred in 7 patients aged 70 years and over, with no significant differences compared to the patients aged under 70. The 30-day morbidity rate did not significantly differ between the age groups, with an overall postoperative complication rate of 9.3 %. Only length of stay (LOS) was significantly longer in the elderly patients. Performing univariate analysis, only the occurrence of intraoperative complications was associated with 30-day morbidity.
conclusionIn the present study, age was not associated with increased 30-day morbidity or mortality following HH repair. Therefore, in carefully selected patients, age should not be used as an argument to withhold laparoscopic HH repair.
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