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Journal of Gastrointestinal Surgery

Published in:

01-10-2017 | Original Article

Laparoscopic Paraesophageal Hernia Repair: Utilization Rates of Mesh in the USA and Short-Term Outcome Analysis

Authors: Francisco Schlottmann, Paula D. Strassle, Marco G. Patti

Published in: Journal of Gastrointestinal Surgery | Issue 10/2017

Abstract

Background

Many studies have shown that the utilization of mesh for paraesophageal hernia repair (PEHR) does not prevent recurrence. The aims of this study were (a) to assess the utilization of mesh for PEHR in the USA and (b) to compare the perioperative outcomes between PEHR with and without mesh.

Methods

A retrospective population-based analysis was performed using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database. Adult patients who underwent laparoscopic PEHR with and without implantation of mesh between 2011 and 2014 were included. The yearly utilization of mesh, stratified by surgical approach, was estimated using the Poisson regression. Multivariable logistic regression was used to estimate the effect of mesh on 30-day perioperative outcomes.

Results

A total of 9590 laparoscopic PEHR were included, 5814 (60.6%) without mesh and 3776 (39.4%) with mesh. The yearly rate of PEHR with implantation of mesh did not change significantly during the study period (39.4% mesh utilization in 2011, and 38.2% mesh utilization in 2014, p = 0.37). Patients undergoing PEHR with mesh, as compared to those without mesh, had similar incidence of 30-day postoperative morbidity and mortality.

Conclusion

Even though there is no strong evidence to support its use, utilization rates of mesh for laparoscopic PEHR remained high and stable between 2011 and 2014 in the USA. The use of mesh was not associated with a higher incidence of postoperative complications.

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Title: Laparoscopic Paraesophageal Hernia Repair: Utilization Rates of Mesh in the USA and Short-Term Outcome Analysis
Authors: Francisco Schlottmann
Paula D. Strassle
Marco G. Patti
Publication date: 01-10-2017
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 10/2017
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-017-3452-8

ACC 2024 Congress

Springer Medicine

Laparoscopic Paraesophageal Hernia Repair: Utilization Rates of Mesh in the USA and Short-Term Outcome Analysis

Abstract

Background

Methods

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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