Navarro-Vargas LA, Ortiz de la Peña-Rodríguez JA, Orozco-Obregón P

Language: Spanish
References: 15
Page: 20-23
PDF size: 35.76 Kb.

ABSTRACT

Objective: Analyze the current information and results on hiatal hernia repair, and share our experience as surgical group. Methodology: This is a descriptive, longitudinal and retrospective cohort that includes 11 patients between January 2007 and January 2012 with radiological and endoscopic documented hiatal hernia greater than 5 cm, patients underwent laparoscopic hiatal hernia repair with or without mesh. Results: There is no large number of comparative series between laparoscopic and open procedure, likewise, found series and the included by us does not have a large population, and although in the short term it seems that the use of prosthetic materials is a good option in terms of clinical outcomes and prevention of recurrences, must take into consideration the potential complications that so far have been reported and that there are no long-term data reported in the literature. Conclusions: The use of materials prosthesic materials improves the clinical outcome and reduces the recurrence index, however its use has to be decided based on the individual features of each patient and considering the potential risks that have been reported so far.

REFERENCES

1. Hinder RA, Filipi CJ, Wetscher G et al. Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann Surg 1994; 220: 472-483.

2. Basso N, De Leo A, Genco A et al. 360° laparoscopic fundoplication with tensión-free hiatoplasty in the treatment of symptomatic gastroesophageal reflux disease. Surg Endosc 200; 14: 164169.

3. Granderath FA, Schweiger UM, Kamolz T et al. Laparoscopic antireflux surgery with routine mesh hiatoplasty in the treatment of gastroesophageal reflux disease. J Gasrointest Surg 2002; 6: 347-353.

4. Hashemi M, Peters JH, DeMeester TR et al. Laparoscopic repair of large type III hiatal hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg 2000; 190: 553-560.

5. Lucketich JD, Nason KS, Christie NA, et al. Outcomes after a decade of laparoscopic giant paraesophageal hernia repair. J Thorac Cardiovasc Surg 2010; 139: 395-405.

6. Frantzides CT, Richards CG, Carlson MA et al. A prospective randomized trial of laparoscopic polytetrafluoroethylene (PTFE) patch repair vs simple cruroplasty for large hiatal hernia. Arch Surg 2002; 137: 649-652.

7. Kelty CJ, Falk GL. Mesh repairs in hiatal surgery. The case against mesh repairs in hiatal surgery. Ann R Coll Surg Engl 2006; 89: 479-483.

8. Granderath FA, Kamolz T, Schweiger UM, et al. Impact of laparoscopic Nissen fundoplication with prosthetic hiatal closure on esophageal motility. Ann Surg 2006; 141: 625-632.

9. Horgan S, Eubanks TR, Jacobsen G et al. Repair of paraesophageal hernias. Am J Surg 1999; 177: 354-358.

10. Oelschlager BK, Pellegrini CA. Paraesophageal hernias: open, laparoscopic, or thoracic repair? Chest Surg Clin North Am 2001; 11: 589-603.

11. Mattar SG, Bowers SP, Galloway KD et al. Long-term outcome of laparoscopic repair of paraesophageal hernia. Surg Endosc 2001; 16: 745-749.

12. Granderath FA, Schweiger UM, Kamotz T et al. Laparoscopic Nissen fundoplication with prosthetic hiatal closure reduces postoperative intrathoracic wrap herniation: preliminary results of a prospective randomized functional and clinic study. Arch Surg 2005; 140: 40-48.

13. Lucketich JD, Raja S, Fernando HC, et al. laparoscopic repair of giant paraesophageal hernia: 100 consecutive cases. Ann Surg 2000; 234: 608-618.

14. Oelschlager BK, Pellegrini CA, Hunter J et al. Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair. Ann Surg 2006; 244: 481-490.

15. Boushey RP, Moloo H, Burpee S et al. laparoscopic repair of paraesophageal hernias: a Canadian experience. Can J Surg 2008; 51: 355-360.