Randomized clinical trial comparing laparoscopic hiatal hernia repair using sutures versus sutures reinforced with non-absorbable mesh
Background Current literature is characterized by a discrepancy between reported symptomatic and radiological recurrent hiatal hernia’s following primary repair. Crural augmentation using mesh is suggested to reduce recurrence rates. The aim of this trial is to analyze 1-year outcome of laparoscopic...
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Veröffentlicht in: | Surgical endoscopy 2018-11, Vol.32 (11), p.4579-4589 |
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Sprache: | eng |
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Zusammenfassung: | Background
Current literature is characterized by a discrepancy between reported symptomatic and radiological recurrent hiatal hernia’s following primary repair. Crural augmentation using mesh is suggested to reduce recurrence rates. The aim of this trial is to analyze 1-year outcome of laparoscopic hiatal hernia repair using sutures versus sutures reinforced with non-absorbable mesh.
Methods
Between 2013 and 2016, 72 patients with an objectified hiatal hernia were randomized for primary repair using non-absorbable sutures and sutures reinforced with non-absorbable mesh. Data regarding the incidence of recurrent hiatal hernia, need for endoscopic dilatation or surgical reintervention, postoperative dysphagia and/or reflux symptoms, general health, and use of acid-suppressing medication were analyzed.
Results
72 patients (
n
= 36 vs.
n
= 36) were included. One year after primary repair and repair using non-absorbable mesh, there were no differences in the number of recurrent hiatal hernia’s demonstrated by barium swallow radiology (
n
= 4 [11.4%] vs.
n
= 6 [19.4%],
p
= 0.370) or upper gastrointestinal endoscopy (
n
= 5 [14.4%] vs.
n
= 5 [17.2%],
p
= 0.746), the number of surgical reinterventions (
n
= 2 [5.6%] vs.
n
= 1 [2.8%],
p
= 1.000), nor in chest pain and heartburn scores, with comparable dysphagia and satisfaction scores. Compared to the preoperative state, both groups demonstrated a comparable and significant reduction in chest pain score and Dakkak dysphagia score.
Conclusions
Use of non-absorbable mesh to reinforce primary hiatal hernia repair results in equal hiatal hernia recurrence and symptomatic outcome compared to repair using sutures alone. During 1-year follow-up, there were no mesh-related complications. Follow-up beyond 1 year needs to demonstrate whether these findings are sustained. |
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ISSN: | 0930-2794 1432-2218 |
DOI: | 10.1007/s00464-018-6211-3 |