REDO LAPAROSCOPIC ANTIREFLUX SURGERY IN PATIENTS WITH HIATAL HERNIA

Area of Science:

• Gastroenterology
• Surgical Innovation
• Minimally Invasive Surgery

Background:

• Laparoscopic antireflux surgery is a common treatment for gastroesophageal reflux disease.
• Recurrence of symptoms or complications may necessitate reoperation.
• Evaluating the outcomes of redo laparoscopic antireflux surgery is crucial for patient management.

Purpose of the Study:

• To investigate the characteristics and outcomes of redo laparoscopic antireflux surgery.
• To assess the efficacy and safety of repeat laparoscopic procedures for reflux.

Main Methods:

• Retrospective analysis of 57 patients undergoing redo laparoscopic antireflux surgery between 2008 and 2019.
• Indications for reoperation included recurrent hiatal hernia, reflux, dysphagia, pain, and esophageal stricture.
• Patient outcomes were evaluated through clinical examinations, interviews, questionnaires (GERD-HRQL), and long-term follow-up (6 months to 6 years).

Main Results:

• Redo laparoscopic antireflux operations were performed successfully in all 57 patients without conversion to open surgery.
• Intraoperative complications occurred in 11.11% of patients.
• Long-term follow-up (90.74%) showed significant improvement in quality of life (p<0.001) and good results in 91.84% of patients.
• Only 5.6% of patients required a third operation.

Conclusions:

• Redo laparoscopic antireflux surgery is a technically demanding but effective intervention.
• The procedure yields favorable long-term results, with over 90% of patients experiencing significant improvement.
• Laparoscopic reoperation is a viable option for managing complex cases of failed primary antireflux surgery.