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Related Concept Videos

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: May 10, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Open versus laparoscopic hiatal hernia repair.

Terrence M Fullum1, Tolulope A Oyetunji, Gezzer Ortega

  • 1Department of Surgery, Howard University College of Medicine, Washington, DC 20060, USA. tfullum@howard.edu

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|June 8, 2013
PubMed
Summary

Laparoscopic repair of paraesophageal hiatal hernia reduces hospital stay. This approach is linked to lower mortality in uncomplicated cases, but older age and Hispanic ethnicity increase death risks.

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Area of Science:

  • Surgical Outcomes Research
  • Gastrointestinal Surgery
  • Health Services Research

Background:

  • Efficacy of laparoscopic paraesophageal hiatal hernia repair is documented.
  • Widespread adoption and risks of this approach require further large-scale investigation.

Purpose of the Study:

  • To evaluate the adoption and risks of different surgical approaches for paraesophageal hiatal hernia repair.
  • To identify risk factors for mortality in patients undergoing repair.

Main Methods:

  • Analysis of the Nationwide Inpatient Sample (1998-2005).
  • Comparison of laparoscopic, open abdominal, and open thoracic repair for complicated vs. uncomplicated hernias.
  • Multivariate analysis controlling for demographics and comorbidities.

Main Results:

  • Laparoscopic repair significantly reduced length of stay.
  • Older age (≥60) and nonwhite ethnicity were associated with higher mortality.
  • Laparoscopic repair and obesity were linked to lower mortality in uncomplicated cases.

Conclusions:

  • Laparoscopic repair of paraesophageal hiatal hernia is associated with reduced mortality in uncomplicated cases.
  • Older age and Hispanic ethnicity are risk factors for increased mortality.