Treatment strategy for laparoscopic hiatal hernia repair

Introduction According to the anatomy‐function‐pathology classification, the recurrence rates of A2 and A3 hiatal hernia (HH) after laparoscopic fundoplication are higher than the rate of A1 HH. Therefore, we introduced mesh reinforcement for A2 and A3 cases. In addition, gastropexy was added to A3...

Full description

Saved in:
Bibliographic Details
Published in:Asian journal of endoscopic surgery 2021-10, Vol.14 (4), p.684-691
Main Authors: Yano, Fumiaki, Tsuboi, Kazuto, Omura, Nobuo, Hoshino, Masato, Yamamoto, Se R., Akimoto, Shunsuke, Masuda, Takahiro, Mitsumori, Norio, Ikegami, Toru
Format: Article
Language:English
Subjects:
GERD
hiatal hernia
Hiatal hernias
laparoscopic fundoplication
Laparoscopy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction According to the anatomy‐function‐pathology classification, the recurrence rates of A2 and A3 hiatal hernia (HH) after laparoscopic fundoplication are higher than the rate of A1 HH. Therefore, we introduced mesh reinforcement for A2 and A3 cases. In addition, gastropexy was added to A3 cases. We present the strategy for HH repair. Methods In all, 537 patients (mean age 55.4 ± 16.7 years, 219 women) who underwent primary laparoscopic fundoplication for HH from January 1995 to October 2019 were included. They were divided into three groups by A factor (A1:A2:A3 = 296:156:85). Their clinical data were collected in a prospective fashion and retrospectively reviewed. Results The median age (years) of the patients in each group was A1:A2:A3 = 46:63:74 years, and age was directly proportional to the size of HH (P 
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12918