ArticleSurgical endoscopy2020
Modern era surgical outcomes of elective and emergency giant paraesophageal hernia repair at a high-volume referral center.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Acute paraesophageal hernia with gastric volvulus. Results of surgical treatment: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2025Pooled it
- Outcomes of emergent hiatal hernia repair: does specialty matter?Surgical endoscopy · 2026Article
- Tailored staged approach for acute paraesophageal hernia: safe and effective in high-risk patients.Surgical endoscopy · 2026Observational
- Feasibility of intraoperative force quantification during robotic paraesophageal hernia repair: a prospective case series using integrated force-sensing technology.Frontiers in surgery · 2026Article
- Definitive, urgent repair of acutely incarcerated paraesophageal hernias is comparable to an elective repair.Surgical endoscopy · 2025Article
- Outcomes after revisional surgery for paraesophageal hernias at a high-volume tertiary care center.Surgical endoscopy · 2024Article
- Hiatal Hernias Revisited-A Systematic Review of Definitions, Classifications, and Applications.Life (Basel, Switzerland) · 2024Review
- Comparison of Medical Research Abstracts Written by Surgical Trainees and Senior Surgeons or Generated by Large Language Models.JAMA network open · 2024Article
- Malpractice claims after antireflux surgery and paraesophageal hernia repair: a population-based analysis.Surgical endoscopy · 2024Article
- Defining surgical risk in octogenarians undergoing paraesophageal hernia repair.Surgical endoscopy · 2023Article
- Article
- The impact of frailty on outcomes following laparoscopic repair of 'giant' paraesophageal hernias.Surgical endoscopy · 2023Article
- Dyspnoea improves following composite repair of giant paraoesophageal hernia.Annals of the Royal College of Surgeons of England · 2023Article
- Percentage of intrathoracic stomach predicts operative and post-operative morbidity, persistent reflux and PPI requirement following laparoscopic hiatus hernia repair and fundoplication.Surgical endoscopy · 2023Article
- Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper.World journal of emergency surgery : WJES · 2023Review
- Elective paraesophageal hernia repair in elderly patients: an analysis of ACS-NSQIP database for contemporary morbidity and mortality.Surgical endoscopy · 2022Article
- Do Poor Functional Outcomes and Higher Morbidity Following Emergency Repair of Giant Hiatus Hernia Warrant Elective Surgery in Asymptomatic Patients?Frontiers in surgery · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRepair of giant paraesophageal hernia (PEH) has historically been associated with significant morbidity and mortality such that elective repair is only offered to symptomatic patients. Recent reports suggest modern era outcomes have improved such that elective repair may now be safer than historically thought. Furthermore, the morbidity of emergency surgery may still be significant. These changes may have important implications for patient selection for elective repair. The objectives of this study were to determine and compare modern era surgical outcomes after elective and emergency repair of giant PEHs at a high-volume tertiary care center.
methodsA retrospective review was conducted for all Type II-IV giant PEH repairs performed between 1 January 2012 and 31 December 2017. Type 1 hiatal hernias, fundoplication for reflux, and any co-surgery other than cholecystectomy were excluded from the final analysis. Baseline patient demographics, operative details, postoperative complications within 30 days and in-hospital or 30-day mortality were tabulated from the electronic medical record. Data were reported as median (interquartile range) unless otherwise specified.
resultsA total of 352 cases were reviewed, of which 204 met inclusion criteria (18 emergency, 186 elective). Eight had Type II PEH, 146 had Type III, and 50 had Type IV. Median length of stay was shorter in the elective group [1 (1) day elective vs. 5 (7) days emergency, p < 0.0001], and emergency patients were less likely to return directly to their original residence at discharge (13, 72% emergency vs 185, 99.4% elective, p < 0.0001). There were significantly more major complications (Clavien-Dindo score ≥ 3) in the emergency group (5, 28% emergency vs. 10, 5% elective, p = 0.005). There were no perioperative deaths in either group. Morbidity and mortality in both groups were less than historically reported.
conclusionsInformed consent discussions and patient selection for repair of giant PEHs should reflect modern era and institution-specific outcomes.
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