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Published on: September 11, 2021
Paraesophageal hiatal hernia. Open vs. laparoscopic surgery
M Díez Tabernilla1, J Ruiz-Tovar, R Grajal Marino
1Service of General Surgery and Digestive Diseases, University Hospital Ramón y Cajal, C/Padre Francisco Palau y Quer 7, Madrid, Spain. mariadieztabernilla@gmail.com
Revista Espanola De Enfermedades Digestivas
|November 11, 2009
Summary
Paraesophageal hiatal hernia surgery outcomes are similar between open and laparoscopic approaches. Laparoscopic surgery offers a significantly shorter hospital stay, making it the preferred method for paraesophageal hernia repair.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Hernia Repair
Background:
- Paraesophageal hiatal hernia (PEH) comprises 5-10% of all hiatal hernias.
- PEH carries risks of severe complications like gastric volvulus.
- Surgical intervention is recommended upon diagnosis.
Purpose of the Study:
- To compare outcomes of open versus laparoscopic surgical repair for paraesophageal hiatal hernia.
- To evaluate complication rates, hospital stay, and long-term patient satisfaction.
Main Methods:
- Retrospective analysis of 90 patients undergoing paraesophageal hernia surgery (1985-2007).
- Surgical techniques included various fundoplications and hiatal closure.
- Comparison of open (47 cases) and laparoscopic (43 cases) approaches.
Main Results:
- No significant difference in complication rates between open (10.6%) and laparoscopic (9.5%) surgery.
- Laparoscopic surgery resulted in a significantly shorter hospital stay (3.4 days vs. 9.1 days).
- After median 12-year follow-up, 17.8% remained symptomatic, with 8 recurrences.
Conclusions:
- Laparoscopic and open surgeries yield comparable results for paraesophageal hiatal hernia.
- Laparoscopic repair offers a shorter hospital stay, supporting its consideration as the primary surgical option.
- High patient satisfaction (95.5%) was reported post-surgery.
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