ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Long-Term Patient-Reported Outcomes of Paraesophageal Hernia Repair.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Article
- Robotic hiatal hernia repair without mesh.Journal of thoracic disease · 2024Article
- Article
- Surgical and clinical outcomes comparison of mesh usage in laparoscopic hiatal hernia repair.Surgical endoscopy · 2021Article
- What Is the Reality of Hiatal Hernia Management?-A Registry Analysis.Frontiers in surgery · 2020Article
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Authors and funding
6 authors.
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Abstract
BACKGROUND AND
objectivesThere is a lack of consensus on the optimal repair technique and the definition of good outcomes in paraesophageal hernia (PEH) repair. We reviewed long-term patient-reported outcomes of open and laparoscopic PEH repair to assist with our future surgical consent process.
methodsThis was a retrospective case-control study including all patients with PEH repair performed from 2000 through 2012 at a single center without the use of mesh. We mailed questionnaires to patients to assess reoperation, symptom control, and satisfaction.
resultsChart review identified 217 patients who underwent PEH repair. Nineteen died during the follow-up period. Of the 106 returning the questionnaire, 87 underwent laparoscopic repair, and 19 had open repair, with follow-up of 6.6 (SD 3.9) years and 7.0 (SD 4.1) years, respectively. Reoperation rates were 9.9% and 5.3%, respectively (
conclusionsLong-term patient-specific outcomes showed comparable, encouraging results between open and laparoscopic repair of PEH without mesh reinforcement. However, half of those undergoing laparoscopic repair required the use of medication for symptom control. This study adds to the literature describing long-term patient-specific outcomes and can be useful when counseling patients about PEH repair.
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