Comparison of Dor and Nissen fundoplication after laparoscopic paraesophageal hernia repair

Fundoplication is performed routinely during laparoscopic repairs of a paraesophageal hernia, but the degree of fundoplication remains controversial. The purpose of this study is to assess postoperative dysphagia and reflux after a Dor versus a Nissen fundoplication in patients undergoing laparoscopic repair of giant paraesophageal hernias.
Source: Surgery - Category: Surgery Authors: Source Type: research

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Authors: Sikar HE, Çetin K Abstract Introduction: Recurrent hernias can be treated by laparoscopy without the need for mesh removal. However, shrinkage of the mesh following recurrence affects most of the patients, and leaving a partially floating and rigid foreign body could be discussed. Aim: To compare the outcomes of patients regarding the removal of previous mesh during laparoscopic repair of recurrent abdominal wall hernias. Material and methods: Patients who underwent laparoscopic repair for recurrent ventral hernias between August 2012 and March 2015 were included in the study. The patients w...
Source: Videosurgery and Other Miniinvasive Techniques - Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research
In this study, 14% of patients underwent diagnostic laparoscopy, and bowel resection was completed laparoscopically in only 3 patients. Why did they not prefer transabdominal preperitoneal (TAPP) approach in the same session? In addition, although the authors mentioned that “Further current literature consisting of a limited number of highly selected patients and s upporting that emergent groin hernia repair is feasible laparoscopically through both TAPP or totally extraperitoneal approaches have not raised safety concerns” in the Discussion, there are many studies in the literature comparing laparoscopic and c...
Source: Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
Conclusions: Our systematic review suggests that, in experienced hands, safety, feasibility and clinical outcomes of minimally invasive repair of IH in patients previously treated with prostatectomy, are comparable to those patients without previous RP.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
This study aims to address whether the low-dose acetylsalicylic acid increases bleeding and occurrence of postoperative complications after laparoscopic inguinal hernia repair when it was only ceased on the operation day.MethodFrom July 2017 to January 2019, 901 patients including 781 (86.7%) male and 120 (13.3%) female patients underwent laparoscopic inguinal hernia repair using trans-abdominal preperitoneal (TAPP) technique were recruited, among whom 152 (16.9%) had been taking low-dose (100  mg per day) acetylsalicylic acid which was continued during hospitalization except the operation day. The intra-operative ble...
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionLaparoscopic IPOM still is a good approach for the efficient treatment of primary non-complicated midline hernias. Several techniques are emerging, but are faced with increased costs, technical difficulties, and low study patient volume. Further research is warranted to show superiority and applicability of these new techniques over laparoscopic IPOM, but until then laparoscopic IPOM should remain the go-to technique.
Source: Hernia - Category: Sports Medicine Source Type: research
This study examined the safety and efficacy when repairing defects in 2 anatomical structures (hiatus and lower esophageal sphincter) in a concomitant set of procedures in patients with hiatal hernias between 2 and 5 cm. Methods. Prospective data were collected from 99 patients who underwent hiatal hernia repair followed immediately by the TIF procedure (HH + -TIF). GERD-HRQL (Health-Related Quality of Life), RSI (Reflux Symptom Index), and GERSS (Gastroesophageal Reflux Symptom Score) questionnaires were administered before the procedure and mailed at 6 and 12 months. Results. Ninety-nine patients were enrolled, and all w...
Source: Surgical Innovation - Category: Surgery Authors: Tags: Surg Innov Source Type: research
AbstractObjectiveIn this systematic review, we evaluated all literature reporting on the surgical treatment of primary epigastric hernias, primarily focusing on studies comparing laparoscopic and open repair, and mesh reinforcement and suture repair.MethodsA literature search was conducted in, PubMed and the Cochrane Library up to 24 April 2019. This review explicitly excluded literature on incisional hernias, ventral hernias not otherwise specified, and isolated (para)umbilical hernias. Primary outcome measures of interest were early and late postoperative complications.ResultsWe  obtained a total of ...
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionsUse of different surgical approaches and types of repair for primary presentations of femoral hernia did not affect the recurrence rate or time to recurrence. Use of a pre-peritoneal mesh did not alter the recurrence rate or recurrence free survival, in either elective or emergency settings, compared to simple suture repair. Recurrence following primary femoral hernia repair tends to occur within the first post-operative year, suggesting that technical factors may be as important as suture or mesh failure.
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionsPatient-reported symptoms and satisfaction did not vary for patients receiving laparoscopic Nissen versus Toupet fundoplication, which may indicate that patients with large type III and IV hiatal hernia undergoing either procedure have similar long-term postoperative symptom control.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionsBD does not consistently result in 15-min time saving during TEP. Use of a disposable balloon dissector can be deferred in the experienced hands.Trial (NCT03276871).
Source: Hernia - Category: Sports Medicine Source Type: research
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