Evidence map›Paper›PMID 37817043›Full record

ArticleEsophagus : official journal of the Japan Esophageal Society2024

Is it meaningful to add mesh reinforcement to laparoscopic fundoplication for esophageal hiatal hernias in the patients with high risk of hiatal hernia recurrence?

Kazuto Tsuboi, Takahiro Masuda, Nobuo Omura, Masato Hoshino, Se-Ryung Yamamoto, Shunsuke Akimoto, Yuki Sakashita, Naoko Fukushima, Hideyuki Takeuchi, Keita Takahashi and 2 more

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Article in Esophagus : official journal of the Japan Esophageal Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Kazuto TsuboiDepartment of Surgery, Fuji City General Hospital, 50, Takashima-Cho, Fuji, Shizuoka, 416-0951, Japan. kazuto@jikei.ac.jp.ORCID 0000-0002-8126-431X
Takahiro MasudaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Nobuo OmuraDepartment of Surgery, Nishisaitama-Chuo National Hospital, Saitama, Japan.
Masato HoshinoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Se-Ryung YamamotoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Shunsuke AkimotoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Yuki SakashitaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Naoko FukushimaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Hideyuki TakeuchiDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Keita TakahashiDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Fumiaki YanoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Ken EtoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Jikei University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile laparoscopic fundoplication is a standard surgical procedure for patients with esophageal hiatal hernias, the postoperative recurrence of esophageal hiatal hernias is a problem for patients with giant hernias, elderly patients, or obese patients. Although there are some reports indicating that reinforcement with mesh is effective, there are differing opinions regarding the use thereof. The aim of this study is to investigate whether mesh reinforcement is effective for laparoscopic fundoplication in patients with esophageal hiatus hernias.

methodsThe subjects included 280 patients who underwent laparoscopic fundoplication as the initial surgery for giant esophageal hiatal hernias, elderly patients aged 75 years or older, and obese patients with a BMI of 28 or higher, who were considered at risk of recurrent hiatal hernias based on the previous reports. Of the subject patients, 91 cases without mesh and 86 cases following the stabilization of mesh use were extracted to compare the postoperative course including the pathology, symptom scores, surgical outcome, and recurrence of esophageal hiatus hernias.

resultsThe preoperative conditions indicated that the degree of esophageal hiatal hernias was high in the mesh group (p = 0.0001), while the preoperative symptoms indicated that the score of heartburn was high in the non-mesh group (p = 0.0287). Although the surgical results indicated that the mesh group underwent a longer operation time (p < 0.0001) and a higher frequency of intraoperative complications (p = 0.037), the rate of recurrence of esophageal hiatal hernia was significantly low (p = 0.049), with the rate of postoperative reflux esophagitis also tending to be low (p = 0.083).

conclusionsMesh reinforcement in laparoscopic fundoplication for esophageal hiatal hernias contributes to preventing the recurrence of esophageal hiatal hernias when it comes to patient options based on these criteria.

Indexed as

Esophagitis, PepticHernia, HiatalLaparoscopyAgedFundoplicationHumansObesitySurgical MeshEsophageal hiatal herniaHernia recurrenceMeshSurgical outcome

Identifiers

PMID37817043
OpenAlexW4387494315

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.