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Langenbeck's Archives of Surgery

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01-01-2012 | Review Article

Mesh-reinforced hiatal hernia repair: a review on the effect on postoperative dysphagia and recurrence

Authors: Stavros A. Antoniou, Oliver O. Koch, George A. Antoniou, Rudolph Pointner, Frank A. Granderath

Published in: Langenbeck's Archives of Surgery | Issue 1/2012

Abstract

Purpose

The objective of the present study was to review the pertinent literature and analyze the evidence for and against the use of mesh for hiatal hernia repair, with a focus on the effects on recurrence and postoperative dysphagia.

Methods

A literature search was performed between January 1990 and March 2010. Studies were considered for inclusion, provided (1) they comprised a series of at least 20 patients, (2) they documented a follow-up period of at least 6 months, (3) they reported on the outcome as expressed by hernia recurrence rates, and (4) they reported on type of mesh material, hiatal closure, and antireflux surgery.

Results

Twenty-three articles enrolling a cumulative number of 1,446 patients fulfilled the inclusion criteria. Polypropylene meshes seem to be associated with low recurrence rates (0–22.7%, median 1.9%) and acceptable dysphagia rates (0–21.7%, median 3.9%). Higher dysphagia rates after polytetrafluoroethylene (PTFE) and expanded PTFE (ePTFE) mesh hiatoplasty have been recorded (15.5–34.3%). Even though the use of novel biologic implants for hiatal repair is still in its infancy, the existing results from clinical research are promising.

Conclusions

Polypropylene meshes seem to provide durable results with low dysphagia rates. Unacceptably high recurrence rates for PTFE/ePTFE meshes have been reported. Biologic implant engineering represents a promising field in hiatal hernia surgery.

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Title: Mesh-reinforced hiatal hernia repair: a review on the effect on postoperative dysphagia and recurrence
Authors: Stavros A. Antoniou
Oliver O. Koch
George A. Antoniou
Rudolph Pointner
Frank A. Granderath
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 1/2012
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-011-0829-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mesh-reinforced hiatal hernia repair: a review on the effect on postoperative dysphagia and recurrence

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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