ArticleSurgical endoscopy2023
Hiatal hernia recurrences after laparoscopic surgery: exploring the optimal technique.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- 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
- Comparison of short-term clinical efficacy and safety between biological and synthetic meshes in laparoscopic hiatal hernia repair: a single-center randomized controlled trial.Hernia : the journal of hernias and abdominal wall surgery · 2025Trial
- Use of intraoperative distensibility index with EndoFLIP™ is independently associated with hiatal hernia recurrence after fundoplication.Surgical endoscopy · 2026Article
- Symmetrical anterior-posterior partial fundoplication: technique and outcomes.Surgical endoscopy · 2026Article
- Complex and Recurrent Hiatal Hernia Repair Using a Pedicled Rectus Abdominis Flap: Surgical Technique and Case Series.Plastic and reconstructive surgery. Global open · 2026Article
- Reflections on surgery for hiatal hernia.Updates in surgery · 2026Review
- Prospective cohort study of biological versus and synthetic meshes for laparoscopic repair of hiatal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Article
- The Fundoplication Revision of a Recurrent Large Paraesophageal Hiatal Hernia in a 63-Year-Old Female.Cureus · 2025Article
- Case report: A novel technique of robotic low-tension hiatal hernia repair using mediastinoplication.MethodsX · 2025Article
- Article
- Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation.BMC surgery · 2025Article
- Fundoplication at the time of paraesophageal hernia repair does not decrease the rate of hernia recurrence or postoperative reflux.Surgical endoscopy · 2025Article
- Does crural repair with biosynthetic mesh improve outcomes of revisional surgery for recurrent hiatal hernia?Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- Cruroplasty as a standalone treatment for recurrent hiatal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Article
- Lessons learned from revision procedures: a case series pleading for reinforcement of the anterior hiatus in recurrent hiatal hernia.Surgical endoscopy · 2024Review
- Characteristics and Outcomes of OviTex Mesh in Laparoscopic Hiatal Hernia Repair with Fundoplication and Mesh.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe recurrence rate of hiatal hernia (HH) after laparoscopic surgery with crural repair and Nissen or Toupet fundoplication is high (< 25-42%). HH repair can be reinforced with additional anterior sutures, vertical mesh strips (VMS) or mesh placement but the effect in the long-term (> 1 year) is still unclear. We determined the recurrence rate of HH after surgery and established whether the use of reinforcement techniques could reduce long-term recurrence rates.
methodsIn this retrospective cohort study patients were included if they underwent a laparoscopic fundoplication in this hospital between 2012 and 2019. HH was measured with computed tomography and baseline patient characteristics and surgical details were collected. Primary outcomes were recurrence of symptoms and re-intervention, secondary outcome was effect of surgical reinforcement techniques. Statistical analyses comprised chi-square tests, Mann-Whitney U tests and uni- and multivariable logistic regression analyses.
resultsIn total, 307 patients were included, 206 women and 101 men. During primary surgery, 208 patients underwent a Toupet fundoplication and 97 patients underwent a Nissen fundoplication. Reinforcements consisted of anterior sutures in 132 patients, VMS in 89 patients and mesh in 17 patients. After primary surgery, recurrence of HH was diagnostically confirmed in 64 patients (20.8%). Use of VMS during primary surgery was significantly associated with fewer recurrences (OR = 0.34, p = 0.048), corrected for confounding factors. Secondary surgery was performed in 54 patients (17.6%) and tertiary surgery in five patients (1.6%). Mesh and VMS were used more during secondary and tertiary surgery.
conclusionThe recurrence rate among HH patients in this cohort study was 20.8% with a mean follow-up time of 6 years. Secondary surgery was performed in 17.6% of the patients. In future, the use of VMS might lead to fewer recurrences after primary laparoscopic repair of HH.
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