ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2025
Clinical Volume and Perioperative Outcomes of Hiatal Hernia Repair Within the Society of Thoracic Surgeons-General Thoracic Surgery Database.
Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 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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Who cites it
1 citing paper in PubMed.
- Robot-Assisted Antireflux Surgery in Gastro-Oesophageal Reflux Disease and Hiatal Hernia: Beyond Platform Comparison Towards Selective Clinical Value.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: This study investigates the relationship between clinical center operative volume and perioperative outcomes for elective hiatal hernia repairs. Methods: Patients receiving an elective hiatal hernia repair within the Society of Thoracic Surgeons-General Thoracic Surgery Database (2018-2023) were included. Patients with a cancer diagnosis or achalasia were excluded. Participant centers were categorized into low-, medium-, and high-volume tertiles based on annual elective hiatal hernia operative volume. Primary outcomes were 30-day morbidity and reoperation. Secondary outcomes included mortality and 30-day readmission. Multivariable regressions were performed to adjust for covariates, including sociodemographics, comorbidities, and hernia characteristics. Results: Among 174 centers, 13,658 elective hiatal hernia repairs were performed. A total of 295 (2.2%), 1714 (12.5%), and 11,649 (85.3%) repairs were performed at low-, medium-, and high-volume centers, respectively. Mortality within 30 days was <0.5% and did not differ by center volume. There was a stepwise decrease in 30-day morbidity (22.4% vs 18.4% vs 14.0%; Conclusions: Perioperative outcomes after hiatal hernia repair were significantly improved when treatment occurred at high-volume centers. Referral to high-volume centers is encouraged for elective repairs.
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