Related Experiment Video
Updated: Feb 18, 2026
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
5.9K
Long-Term Patient-Reported Outcomes of Paraesophageal Hernia Repair
Damien J Lazar1, Desmond H Birkett2, David M Brams2
1Tufts University School of Medicine, Boston, Massachusetts.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|November 23, 2017
Summary
Both open and laparoscopic paraesophageal hernia (PEH) repair offer comparable long-term outcomes. While symptom improvement was high for both, laparoscopic repair patients more frequently needed medication for symptom control.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Patient Outcomes Research
Background:
- Paraesophageal hernia (PEH) repair techniques and outcome definitions lack consensus.
- Optimal surgical approaches and long-term results require further investigation.
Purpose of the Study:
- To review long-term patient-reported outcomes of open versus laparoscopic PEH repair.
- To inform surgical consent processes by detailing outcomes without mesh reinforcement.
Main Methods:
- Retrospective case-control study of PEH repairs (2000-2012) without mesh.
- Patient questionnaires assessed reoperation, symptom control, and satisfaction.
- Follow-up averaged 6.6-7.0 years post-surgery.
Main Results:
- 95.4% (laparoscopic) and 89.5% (open) reported symptom improvement (dysphagia, heartburn, regurgitation).
- Laparoscopic repair patients were more likely to require medication (54.0% vs 26.3%, P=.029).
- Reoperation rates and patient satisfaction (90% in both groups) were comparable.
Conclusions:
- Open and laparoscopic PEH repair without mesh yield similar, encouraging long-term patient-reported outcomes.
- Laparoscopic repair necessitates medication for symptom control in about half of patients.
- Findings aid in patient counseling regarding PEH repair expectations.
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
763
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
763
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
795
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.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
795
01:21Barrett Esophagus-II: Clinical Manifestations and Management
1.2K
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
1.2K
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
996
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
996
01:26Esophageal Strictures-II: Clinical Features and Management
723
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
723
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
975
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
975