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Updated: Jan 23, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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Post-operative giant hiatal hernia: A single center experience
Valter Nilton Felix1, Ioshiaki Yogi, Daniel Senday
1Nucleus of General and Specialized Surgery, São Paulo, Brazil.
Medicine
|June 7, 2019
Summary
Laparoscopic surgery effectively treats large post-operative giant hiatal hernias (POGH), resolving symptoms like dysphagia. This minimally invasive approach offers successful outcomes with no mortality or complications, restoring esophageal function.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Hernia Repair
Background:
- Post-operative giant hiatal hernia (POGH) is an increasing complication after gastroesophageal reflux disease surgery.
- Dysphagia is a primary indication for reoperation in POGH patients.
Purpose of the Study:
- To evaluate the efficacy and outcomes of surgical treatment for post-operative giant hiatal hernia (POGH).
Main Methods:
- A cohort of 15 patients with type III POGH underwent laparoscopic reoperation.
- Procedures included hernia reduction, sac excision, crural repair, anti-reflux procedure, and gastropexy.
- Post-operative assessments included clinical follow-up, barium esophagogram, endoscopy, manometry, and pH testing.
Main Results:
- Laparoscopic reoperation was successful in all patients, with a mean hospital stay of 3.2 days.
- No mortality or postoperative complications were reported.
- Patients remained asymptomatic during a mean follow-up of 2.86 years, with restored esophageal function and no reflux.
Conclusions:
- Laparoscopic corrective surgery for POGH is feasible and effective in experienced hands.
- The described surgical technique yields successful, long-term outcomes for POGH patients.
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