ArticleCureus2025
Outcomes of Laparoscopic Hiatal Hernia Repair: A Three-Year Follow-Up Study From a UK Tertiary Centre.
Article in Cureus, 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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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.
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1 citing paper in PubMed.
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic hiatal hernia repair is standard for symptomatic para-oesophageal and selected sliding hernias. International guidance supports elective repair for symptomatic disease; however, reported radiological recurrence rates vary, and their clinical relevance is debated. METHODOLOGY: Retrospective cohort of 126 adults undergoing elective laparoscopic hiatal hernia repair at University Hospitals Birmingham (2016-2020). All patients underwent standard laparoscopic reduction, posterior cruroplasty and Nissen (360°) fundoplication. No mesh reinforcement was used in any case. Follow-up at 12 and 36 months captured overall symptom relief, dysphagia improvement, radiological recurrence, redo surgery, and symptomatic patients without radiological recurrence. Outcomes are intention-to-follow (
resultsThe median age was 59 years. At 12 months, 111/126 (88.1%) reported overall symptom relief, and 98/126 (77.8%) reported dysphagia improvement. At 36 months, 103/126 (81.7%) and 88/126 (69.8%), respectively. Radiological recurrence occurred in 15/126 (12.0%) at 12 months and 28/126 (22.2%) at 36 months. Symptomatic recurrence requiring redo surgery occurred in 2/126 patients (1.6%) at 12 months and 9/126 (7.1%) at 36 months; asymptomatic recurrences were 13/126 (10.3%) and 19/126 (15.1%), respectively. Symptomatic patients without radiological recurrence were 3/126 (2.4%) at 12 months and 4/126 (3.2%) at 36 months.
conclusionsLaparoscopic repair provides a reliable symptom control outcome through three years. Radiological recurrence is relatively common but frequently asymptomatic; only a minority (≤10%) require redo surgery. Long-term, symptom-led follow-up is warranted.
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