Evidence map›Paper›PMID 39913018›Full record

ReviewHernia : the journal of hernias and abdominal wall surgery2025

Laparoscopic repair of parahiatal hernia: surgical techniques and literature reviews.

Haifeng Han, Mingjian Zhao, Shuo Yang, Xuefeng Liu, Chengxu Miao, Xingyu Wu, Jinghui Lu

Abstract readReview
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In one paragraph

Review in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Haifeng Han *Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 107 West Wenhua Road, Jinan, 250012, Shandong, People's Republic of China.
Mingjian Zhao *Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 107 West Wenhua Road, Jinan, 250012, Shandong, People's Republic of China.
Shuo YangDepartment of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 107 West Wenhua Road, Jinan, 250012, Shandong, People's Republic of China.
Xuefeng LiuDepartment of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 107 West Wenhua Road, Jinan, 250012, Shandong, People's Republic of China.
Chengxu MiaoDepartment of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 107 West Wenhua Road, Jinan, 250012, Shandong, People's Republic of China.
Xingyu WuDepartment of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 107 West Wenhua Road, Jinan, 250012, Shandong, People's Republic of China.
Jinghui LuDepartment of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 107 West Wenhua Road, Jinan, 250012, Shandong, People's Republic of China. 201262005933@email.sdu.edu.cn.ORCID 0000-0001-8271-133X

Funding

National Natural Science Foundation of China 81600617National Natural Science Foundation of China 81702647Natural Science Foundation of Shandong Province ZR2021LZL003Natural Science Foundation of Shandong Province ZR2023QH528
6 · The paper itself

Abstract

purposeParahiatal hernia (PHH) is a rare type of diaphragmatic hernia that protrudes through a defect adjacent to, but distinct from, the esophageal hiatus. Current literature on PHH is extremely limited. In this study, we present our experience with laparoscopic repair of PHH and provide a comprehensive review of existing literature.

methodsWe retrospectively reviewed clinical data from eight patients diagnosed with PHH at Qilu Hospital, Shandong University, between October 2021 and March 2024. Collected data included patient demographics, hernia characteristics, and perioperative details. The primary outcomes assessed were the safety and feasibility of the procedure, along with postoperative complications such as pleural effusion, hemorrhage, fistula, and mesh infection.

resultsLaparoscopic surgery was successfully performed in all patients. Two patients underwent simultaneous sleeve gastrectomy. Concurrent hiatal hernia was diagnosed in two patients, while seven patients required esophageal hiatus repair due to an enlarged hiatus following PHH repair. The mean hernia ring width was 3.69 ± 1.22 cm. Mesh reinforcement was employed in six patients. The mean operative time was 205.63 ± 62.36 min, and the mean hospital stay was 7.75 ± 1.49 days. With a median follow-up of 11.5 (interquartile range: 7.75-29.5) months, no major complications, recurrences, or mortality were reported.

conclusionLaparoscopic repair of PHH is a safe and effective procedure. Nonetheless, the techniques for defect closure, hiatus repair, mesh placement, and fundoplication should be customized based on the individual patient's characteristics.

Indexed as

Hernia, HiatalHerniorrhaphyLaparoscopyAdultAgedFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesSurgical MeshFundoplicationHiatal herniaLaparoscopicMeshParahiatal hernia

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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.