Hiatus Hernia Repair with Bilateral Oesophageal Fixation
Joint Authors
Mendis, Rajith
Cheung, Caran
Martin, David
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Despite advances in surgical repair of hiatus hernias, there remains a high radiological recurrence rate.
We performed a novel technique incorporating bilateral oesophageal fixation and evaluated outcomes, principally symptom improvement and hernia recurrence.
Methods.
A retrospective study was performed on a prospective database of patients undergoing hiatus hernia repair with bilateral oesophageal fixation.
Retrospective and prospective quality of life (QOL), PPI usage, and patient satisfaction data were obtained.
Hernia recurrence was assessed by either barium swallow or gastroscopy.
Results.
87 patients were identified in the database with a minimum of 3 months followup.
There were significant improvements in QOL scores including GERD HRQL (29.13 to 4.38, P<0.01), Visick (3 to 1), and RSI (17.45 to 5, P<0.01).
PPI usage decreased from a median of daily to none, and there was high patient satisfaction (94%).
57 patients were assessed for recurrence with either gastroscopy or barium swallow, and one patient had evidence of recurrence on barium swallow at 45 months postoperatively.
There was an 8% complication rate and no mortality or oesophageal perforation.
Conclusions.
This study demonstrates that our technique is both safe and effective in symptom control, and our recurrence investigations demonstrate at least short term durability.
American Psychological Association (APA)
Mendis, Rajith& Cheung, Caran& Martin, David. 2015. Hiatus Hernia Repair with Bilateral Oesophageal Fixation. Surgery Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1076600
Modern Language Association (MLA)
Mendis, Rajith…[et al.]. Hiatus Hernia Repair with Bilateral Oesophageal Fixation. Surgery Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1076600
American Medical Association (AMA)
Mendis, Rajith& Cheung, Caran& Martin, David. Hiatus Hernia Repair with Bilateral Oesophageal Fixation. Surgery Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1076600
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076600