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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 5/2008

01-05-2008 | original article

Long-term Outcome of Cruroplasty Reinforcement with Human Acellular Dermal Matrix in Large Paraesophageal Hiatal Hernia

Authors: Yong Kwon Lee, Elaine James, Victor Bochkarev, Michelle Vitamvas, Dmitry Oleynikov

Published in: Journal of Gastrointestinal Surgery | Issue 5/2008

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Abstract

Background

Laparoscopic repair of a large hiatal hernia using simple sutures only for the cruroplasty is associated with a high recurrence rate. The solution was to place synthetic mesh over the cruroplasty thereby decreasing recurrence rates in exchange for complications, such as gastric and esophageal erosions. Our initial report investigated the use of human acellular dermal matrix (AlloDerm) as a more suitable alternative. This study highlights our long-term results > 1 year of cruroplasty reinforcement with AlloDerm in the repair of large hiatal hernias.

Methods and Material

This is a retrospective study performed at our university. Between 2005 and 2006, 52 consecutive patients with large hiatal hernias had the cruroplasty site reinforced with AlloDerm. The variables analyzed were age, sex, weight, height, hiatal hernia size, operative time, length of hospital stay, follow-up, and postoperative complications.

Results

The mean for age was 56.7 years, for weight was 87.9 kg, for height 117 cm, for hernia size was 5.75 cm, operative time was 121 min, and for hospital stay was 1.36 days. Complication included pneumothorax, 3 (5.5%); atelectasis, 1 (1.9%); urinary retention, 1 (1.9%); and recurrence, 2 (3.8%).

Conclusion

Laparoscopic hiatal hernia repair with reinforcement using human acellular dermal matrix can be performed safely with a short hospital stay and low rate of complications, especially a low rate of recurrence.
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Metadata
Title
Long-term Outcome of Cruroplasty Reinforcement with Human Acellular Dermal Matrix in Large Paraesophageal Hiatal Hernia
Authors
Yong Kwon Lee
Elaine James
Victor Bochkarev
Michelle Vitamvas
Dmitry Oleynikov
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 5/2008
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-007-0463-x

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