Evidence map›Paper›PMID 40459763›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

3D mesh-augmented hiatal hernia repair in patients with GERD: A 3-year single-center experience.

F Thomas, A Nagel, M H Mueller

Abstract read
In one paragraph

Article 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.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

F ThomasDepartment of Surgery, Vivantes Hospital Am Urban, Berlin, Germany.
A NagelDepartment of Surgery, Vivantes Hospital Am Urban, Berlin, Germany.
M H MuellerDepartment of Surgery, Vivantes Hospital Am Urban, Berlin, Germany. mario.mueller@vivantes.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere are multiple techniques available to repair hiatal hernias. However, recurrence rates are fairly high. Mesh augmentation of the hiatal repair reduces the rate of recurrence, but is still highly controversial despite its frequent use. The aim of the present study was to evaluate clinical results of the minimally invasive mesh-augmented hiatal reconstruction using a new alloplastic 3D mesh (DynaMesh®-DELTA).

methodsBetween January 2019 and December 2022, 320 patients underwent 3D mesh-augmented hiatoplasty at Vivantes Urban Hospital, Berlin, Germany. 133 patients completed follow-up and were subsequently included in this study. Information regarding patient characteristics as well as peri- and postoperative complications were obtained from the electronic patient charts. Patients were followed-up by scheduled visits and questionnaires.

results24 (17.1%) out of the 133 patients had complications. One patient had an early recurrence and required redo surgery during the initial stay. Only 3 (2.2%) patients had grade III complications and underwent invasive treatment under general anesthesia. Overall mortality was 0%. During follow-up, 72.7% of the patients reported to be relatively asymptomatic. However, 23 (17.4%) patients had recurrent hiatal hernias and relevant symptoms. 12 (9.1%) of the patients underwent reoperation.

conclusionsPatients undergoing mesh-augmented hiatal hernia repair showed low postoperative morbidity and recurrence rates. The majority of the patients had significantly improved GERD-associated symptoms. Given the fact that GERD symptom control may be multifactorial, the present technical approach to hiatal hernia repair should be investigated in more detail in the future.

Indexed as

Gastroesophageal RefluxHernia, HiatalHerniorrhaphySurgical MeshAdultAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesTreatment OutcomeGastroesophageal reflux diseaseMesh-augmented hiatal hernia repairMorbidityPatient-reported outcomes

Identifiers

PMID40459763
PMCPMC12133966

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