ArticlePediatric surgery international2026
Age-stratified outcomes of laparoscopic hiatal hernia repair with Nissen fundoplication in children: a single-center experience.
Article in Pediatric surgery international, 2026. 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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Abstract
purposeTo evaluate outcomes of laparoscopic hiatal hernia repair with Nissen fundoplication in children, comparing infants (≤ 12 months) and older children (> 12 months).
methodsPediatric patients who underwent laparoscopic hiatal hernia repair with Nissen fundoplication between 2008 and 2025 were retrospectively reviewed. Patients were classified by age at surgery into ≤ 12 months and > 12 months. Outcomes included postoperative complications, recurrence, length of hospital stay, and follow-up.
resultsNineteen patients were included in this study (10 boys, 9 girls); of which 9 were ≤ 12 months and the remaining 10 were > 12 months. Age-stratified postoperative outcome comparisons were performed in 17 patients after exclusion of 2 patients (%10.5) with concomitant gastrostomy. Median age at repair was 20 months (IQR 5-58.5; 5 days-120 months) and median weight was 9.8 kg (IQR 5.1-17.5; 2.4-50.0 kg). Median length of stay was 4 days (IQR 3-5; 2-7 days), and median follow-up was 84 months (IQR 38.5-112; 4-205 months). Selective mesh reinforcement was used in 3 patients (15.8%) with wide hiatal defects and/or poor crural tissue quality. Postoperative complications occurred in 4 patients (21.1%). Recurrence occurred in 3 patients (15.8%) at 2, 4, and 9 months postoperatively. All underwent redo laparoscopic repair, and no further recurrence was observed during follow-up.
conclusionLaparoscopic hiatal hernia repair with Nissen fundoplication appeared feasible in selected pediatric patients, including infants ≤ 12 months. In this small single-center cohort, recurrences occurred within the first postoperative year and were managed with redo laparoscopy. These findings should be interpreted cautiously and require confirmation in larger multicenter studies.
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