Prosthetic Reinforcement in Hiatal Hernia Repair, Does Mesh Material Matter? A Systematic Review and Network Meta-Analysis

2020 ◽  
Author(s):  
Emanuele Rausa ◽  
Roberto Manfredi ◽  
Michael E. Kelly ◽  
Federica Bianco ◽  
Alberto Aiolfi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Meta Analysis ◽  
Hiatal Hernia Repair ◽  
Material Matter ◽  
Mesh Material ◽  
Prosthetic Reinforcement

Hiatal Hernia Repair during Laparoscopic Sleeve Gastrectomy: Systematic Review and Meta-analysis on Gastroesophageal Reflux Disease symptoms changes

2021 ◽  
Vol 93 (5) ◽  
pp. 1-5
Author(s):  
Piotr Małczak ◽  
Magdalena Pisarska-Adamczyk ◽  
Piotr Zarzycki ◽  
Michał Wysocki ◽  
Piotr Major
Keyword(s):  
Systematic Review ◽  
Sleeve Gastrectomy ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
De Novo ◽  
Hiatal Hernia Repair ◽  
Gerd Symptoms

Introduction Obesity is associated with a higher prevalence of various comorbidities including gastroesophageal reflux disease. It is yet still unclear whether LSG exacerbates or alleviates GERD symptoms. Available date in the literature on LSG influence on GERD are contradictory. Material and methods Systematic review of literature comparing GERD in sleeve gastrectomy versus sleeve gastrectomy with concomtitant hiatal repair. The review was conducted in January 2021 in accordance to PRISMA guidelines. Inclusion criteria involved reporting GERD and comparison of above mentioned techniques. Primary outcome of interest were alleviation of GERD and “de-novo” GERD symptoms. Secondary outcomes were operative time and morbidity. Results Initial search yielded 831 records. After the review and full-text screening 5 studies were included in the analysis. There were no differences in terms of GERD outcomes, p=0.74 for alleviation, p=0.77 for new symptoms. Concomitant hiatal hernia repair significantly prolongs sleeve gastrectomy by 38 mins. Conclusion There are no differences in GERD between hiatal hernia repair during sleeve gastrectomy in comparison to sleeve gastrectomy alone. More high-quality studies are required to fully evaluate this subject.

When should we use mesh in laparoscopic hiatal hernia repair? A systematic review

2020 ◽  
Author(s):  
Francisco Laxague ◽  
Emmanuel E Sadava ◽  
Fernando Herbella ◽  
Francisco Schlottmann
Keyword(s):  
Systematic Review ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Symptom Improvement ◽  
Morbidly Obese ◽  
Hiatal Hernia Repair ◽  
Recurrence Rates ◽  
Mesh Placement ◽  
Mesh Reinforcement ◽  
Laparoscopic Hiatal Hernia Repair

Summary The use of mesh in laparoscopic hiatal hernia repair (LHHR) remains controversial. The aim of this systematic review was to determine the usefulness of mesh in patients with large hiatal hernia (HH), obesity, recurrent HH, and complicated HH. We performed a systematic review of the current literature regarding the outcomes of LHHR with mesh reinforcement. All articles between 2000 and 2020 describing LHHR with primary suturing, mesh reinforcement, or those comparing both techniques were included. Symptom improvement, quality of life (QoL) improvement, and recurrence rates were evaluated in patients with large HH, obesity, recurrent HH, and complicated HH. Reported outcomes of the use of mesh in patients with large HH had wide variability and heterogeneity. Morbidly obese patients with HH should undergo a weight-loss procedure. However, the benefits of HH repair with mesh are unclear in these patients. Mesh reinforcement during redo LHHR may be beneficial in terms of QoL improvement and hernia recurrence. There is scarce evidence supporting the use of mesh in patients undergoing LHHR for complicated HH. Current data are heterogeneous and have failed to find significant differences when comparing primary suturing with mesh reinforcement. Further research is needed to determine in which patients undergoing LHHR mesh placement would be beneficial.

scholarly journals Robotic inguinal hernia repair: systematic review and meta‐analysis

2021 ◽  
Author(s):  
Amjad Qabbani ◽  
Omar M. Aboumarzouk ◽  
Tamer ElBakry ◽  
Abdulla Al‐Ansari ◽  
Mohamed S. Elakkad
Keyword(s):  
Systematic Review ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Meta Analysis ◽  
Robotic Inguinal Hernia Repair

scholarly journals Trans-hiatal herniation following esophagectomy or gastrectomy: retrospective single-center experiences with a potential surgical emergency

Hernia ◽  
2021 ◽  
Author(s):  
P. U. Oppelt ◽  
I. Askevold ◽  
R. Hörbelt ◽  
F. C. Roller ◽  
W. Padberg ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Surgical Repair ◽  
Clinical Symptoms ◽  
Gastrointestinal Symptoms ◽  
Case Series ◽  
Gastric Surgery ◽  
Hiatal Hernia Repair ◽  
Single Center ◽  
Asymptomatic Patients

Abstract Purpose Trans-hiatal herniation after esophago-gastric surgery is a potentially severe complication due to the risk of bowel incarceration and cardiac or respiratory complaints. However, measures for prevention and treatment options are based on a single surgeon´s experiences and small case series in the literature. Methods Retrospective single-center analysis on patients who underwent surgical repair of trans-hiatal hernia following gastrectomy or esophagectomy from 01/2003 to 07/2020 regarding clinical symptoms, hernia characteristics, pre-operative imaging, hernia repair technique and perioperative outcome. Results Trans-hiatal hernia repair was performed in 9 patients following abdomino-thoracic esophagectomy (40.9%), in 8 patients following trans-hiatal esophagectomy (36.4%) and in 5 patients following conventional gastrectomy (22.7%). Gastrointestinal symptoms with bowel obstruction and pain were mostly prevalent (63.6 and 59.1%, respectively), two patients were asymptomatic. Transverse colon (54.5%) and small intestine (77.3%) most frequently prolapsed into the left chest after esophagectomy (88.2%) and into the dorsal mediastinum after gastrectomy (60.0%). Half of the patients had signs of incarceration in pre-operative imaging, 10 patients underwent emergency surgery. However, bowel resection was only necessary in one patient. Hernia repair was performed by suture cruroplasty without (n = 12) or with mesh reinforcement (n = 5) or tension-free mesh interposition (n = 5). Postoperative pleural complications were most frequently observed, especially in patients who underwent any kind of mesh repair. Three patients developed recurrency, of whom two underwent again surgical repair. Conclusion Trans-hiatal herniation after esophago-gastric surgery is rare but relevant. The role of surgical repair in asymptomatic patients is disputed. However, early hernia repair prevents patients from severe complications. Measures for prevention and adequate closure techniques are not yet defined.

Fevers After Redo Nissen Fundoplication With Hiatal Hernia Repair

2014 ◽  
Vol 186 (2) ◽  
pp. 507
Author(s):  
N.E. Sharp ◽  
H. Alemayehu ◽  
A. Desai ◽  
S.D. St. Peter
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Nissen Fundoplication ◽  
Hiatal Hernia Repair
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