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Simplified hiatus herniorrhaphy

J J Lally, W W Gist, C A Petit

    Southern Medical Journal
    |September 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    This study reviews a simple central tendon hiatal herniorrhaphy technique using a mersilene strip. Seven-year results in 138 patients show promising outcomes for hiatus hernia repair.

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    Area of Science:

    • Gastroenterology and Surgical Innovation
    • Hernia Repair Techniques
    • Esophageal Surgery

    Background:

    • Hiatus herniorrhaphy has historically faced challenges including extensive surgery, recurrence, and postoperative dysphagia.
    • Previous methods for anchoring the esophagogastric junction have limitations.

    Purpose of the Study:

    • To review the seven-year outcomes of a simple central tendon hiatal herniorrhaphy technique.
    • To evaluate the efficacy of using a mersilene strip for anchoring the esophagogastric junction.

    Main Methods:

    • A retrospective review of 138 patients undergoing simple central tendon hiatal herniorrhaphy.
    • Utilized a mersilene strip for securing the esophagogastric junction to the central tendon.
    • Assessed outcomes including mortality, recurrence, dysphagia, gas-bloat, and regurgitation.

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    Main Results:

    • The mersilene strip technique provided excellent exposure and visibility for securing the esophagogastric junction within the abdomen.
    • Seven-year follow-up data from 138 patients were analyzed.
    • Key outcomes such as mortality, recurrence rates, and postoperative symptoms were evaluated.

    Conclusions:

    • The simple central tendon hiatal herniorrhaphy with a mersilene strip offers a viable and effective approach to hiatus hernia repair.
    • This technique demonstrates favorable long-term results with acceptable complication rates.
    • Further investigation into optimizing surgical techniques for hiatus hernia is warranted.