ArticleBMC surgery2025
The management of recurrent hiatal hernia: a single-center retrospective study.
Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
Funding
Abstract
purposeHiatal hernia (HH), characterized by gastric mucosa displacement > 2 cm above the diaphragm, presents significant challenges with recurrence rates ranging from 10 to 60%. This study aims to evaluate the outcomes of the revisional surgery and establish a practical management flowchart for recurrent HH.
methodsA retrospective, single-center, consecutive case series was conducted at Beijing Chaoyang Hospital. Data were collected from the patients who underwent revisional surgery for recurrent HH between June 2020 and August 2024. Variables included baseline demographics, patient characteristics, preoperative symptoms, surgical history, recurrence details, operative specifics, comorbidities, and both short-term (90-day morbidity and mortality) and medium-term (29-month follow-up) outcomes. Follow-up assessments were performed at 1, 6, and 12 months postoperatively, and annually thereafter.
resultsTwenty-three patients (10 males, 13 females; mean age 61.7 years; mean BMI 24.0 kg/m
conclusionsLaparoscopic revisional surgery for recurrent HH is safe and effective, providing significant symptoms relief and high satisfaction with minimal complications. Individualized management and careful patient selection are essential for the favorable results.
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