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Related Experiment Videos

Hiatal hernia recurrence: 2004.

V Puri1, G V Kakarlapudi, Z T Awad

  • 1Department of Surgery, Creighton University, Suite 3700 601 N. 30th St, Omaha, NE 68131, USA.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|August 10, 2004
PubMed
Summary

Laparoscopic hiatal hernia recurrence rates are improving. Surgeon inexperience, vomiting, heavy lifting, and sac retention are key recurrence factors, with mesh prostheses under investigation.

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic hiatal hernia repair recurrence rates remain suboptimal.
  • Limited objective data exists on specific recurrence mechanisms.

Purpose of the Study:

  • To review current literature on laparoscopic hiatal hernia repair.
  • To identify evidence-based mechanisms contributing to hernia recurrence.

Main Methods:

  • Comprehensive literature review of English-language articles on laparoscopic hernia repair.
  • Analysis of internet-available studies.

Main Results:

  • Multiple recurrence factors are proposed in the literature.
  • Surgeon inexperience, postoperative vomiting, heavy lifting, and hernia sac retention are supported by data.
  • Hiatal hernia recurrence incidence has stabilized.

Conclusions:

  • Hiatal hernia recurrence rates have stabilized.
  • Further research is needed on the efficacy of onlay mesh prostheses for prevention.
  • Long-term outcomes of mesh use in hiatal hernia repair require evaluation.

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