Comparisons of Methods at Hiatal Hernia Repair

  • Sumeet K. MittalEmail author


In this chapter we will review various controversies in regard to technical aspects of hiatus hernia repair. While the debate is in no matter totally settled, we have attempted to present a succinct review of literature followed by a brief commentary to reflect our opinion.


  1. 1.
    Cuschieri A, Shimi S, Nathanson LK. Laparoscopic reduction, crural repair, and fundoplication of large hiatal hernia. Am J Surg. 1992;163(4):425–30.CrossRefPubMedGoogle Scholar
  2. 2.
    Hashemi M, Peters JH, DeMeester TR, Huprich JE, Quek M, Hagen JA, et al. Laparoscopic repair of large type III hiatal hernia: objective follow up reveals high recurrence rate. J Am Coll Surg. 2000;190(5):553–60.CrossRefPubMedGoogle Scholar
  3. 3.
    Peters MJ, Mukhtar A, Yunus RM, et al. Meta-analysis of randomized clinical trials comparing open and laparoscopic anti-reflux surgery. Am J Gastroenterol. 2009;104:1548.CrossRefPubMedGoogle Scholar
  4. 4.
    Schauer PR, Ikramuddin S, McLaughlin RH, Graham TO, Slivka A, Lee KK, et al. Comparison of laparoscopic versus open repair of paraesophageal hernia. Am J Surg. 1998;176(6):659–65.CrossRefPubMedGoogle Scholar
  5. 5.
    Karmali S, McFadden S, Mitchell P, Graham A, Debru E, Gelfand G, et al. Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes. Dis Esophagus. 2008;21(1):63–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Nguyen NT, Christie C, Masoomi H, Matin T, Laugenour K, Hohmann S. Utilization and outcomes of laparoscopic versus open paraesophageal hernia repair. Am Surg. 2011;77(10):1353–7.PubMedGoogle Scholar
  7. 7.
    Ferri LE, Feldman LS, Stanbridge D, Mayrand S, Stein L, Fried GM. Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach? Surg Endosc. 2005;19(1):4–8.CrossRefPubMedGoogle Scholar
  8. 8.
    Swanstrom LL, Jobe BA, Kinzie LR, Horvath KD. Esophageal motility and outcomes following laparoscopic paraesophageal hernia repair and fundoplication. Am J Surg. 1999;177:359–63.CrossRefPubMedGoogle Scholar
  9. 9.
    Terry M, Smith CD, Branum GD, Galloway K, Waring JP, Hunter JG. Outcomes of laparoscopic fundoplication for gastroesophageal reflux disease and paraesophageal hernia. Surg Endosc. 2001;15:691–9.CrossRefPubMedGoogle Scholar
  10. 10.
    Trus TL, Bax T, Richardson WS, et al. Complications of laparoscopic paraesophageal hernia repair. J Gastrointest Surg. 1997;1:221–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Niebisch S, Fleming FJ, Galey KM, et al. Perioperative risk of laparoscopic fundoplication: safer than previously reported-analysis of the American college of surgeons national surgical quality improvement program 2005 to 2009. J Am Coll Surg. 2012;215:61.CrossRefPubMedGoogle Scholar
  12. 12.
    Hashemi M, Peters JH, DeMeester TR, Huprichi JE, Quek M, Hagen JA, et al. Laparoscopic repair of large type III hiatal hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg. 2000;190:553–60.CrossRefPubMedGoogle Scholar
  13. 13.
    Jobe BA, Aye RW, Deveney CW, Domreis JS, Hill LD. Laparoscopic management of giant type III hiatal hernia and short esophagus: objective follow-up at three years. J Gastrointest Surg. 2002;6:181–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Luketich JD, Nason JS, Christie NA, et al. Outcomes after a decade of laparoscopic giant paraesophageal hernia repair. J Thorac Cardiovasc Surg. 2010;139:395–404.CrossRefPubMedGoogle Scholar
  15. 15.
    Draaisma WA, Gooszen HG, Tournoi JE, Broeders IA. Controversies in paraesophageal hernia repair: a review of literature. Surg Endosc. 2005;19:1300–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Rathore MA, Andrabi SI, Bhatti MI, Najfi SM, McMurray A. Metaanalysis of recurrence after laparoscopic repair of paraesophageal hernia. JSLS. 2007;11(4):456–60.Google Scholar
  17. 17.
    Maziak DE, Todd TR, Pearson FG. Massive hiatus hernia: evaluation and surgical management. J Thorac Cardiovasc Surg. 1998;115:53–60;discussion 61–52.CrossRefPubMedGoogle Scholar
  18. 18.
    DeMeester TR, Bonavina L, Albertucci M. Nissen fundoplication for gastroesophageal reflux disease: evaluation of primary repair in 100 consecutive patients. Ann Surg. 1986;204:9–20.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Rydberg L, Ruth M, Lundell L. Mechanism of action of antireflux procedures. Br J Surg. 1999;86:405–10.CrossRefPubMedGoogle Scholar
  20. 20.
    Zornig C, Strate U, Fibbe C, Emmermann A, Layer P. Nissen vs Toupet laparoscopic fundoplication. Surg Endosc. 2002;16(5):758–66.CrossRefPubMedGoogle Scholar
  21. 21.
    Booth MI, Stratford J, Jones L, Dehn TC. Randomized clinical trial of laparoscopic total (Nissen) versus posterior partial (Toupet) fundoplication for gastro-oesophageal reflux disease based on preoperative oesophageal manometry. Br J Surg. 2008;95:57–63.CrossRefPubMedGoogle Scholar
  22. 22.
    Horvath KD, Jobe BA, Herron DM, Swanstrom LL. Laparoscopic Toupet fundoplication is an inadequate procedure for patients with severe reflux disease. J Gastrointest Surg. 1999;3:583–91.CrossRefPubMedGoogle Scholar
  23. 23.
    Farrell TM, Archer SB, Galloway KD, Branum GD, Smith CD, Hunter JG. Heartburn is more likely to recur after Toupet fundoplication than Nissen fundoplication. Am Surg. 2000;66:229–36.PubMedGoogle Scholar
  24. 24.
    Coster DD, Bower WH, Wilson VT, Brebrick RT, Richardson GL. Laparoscopic partial fundoplication vs laparoscopic Nissen-Rosetti fundoplication. Short-term results of 231 cases. Surg Endosc. 1997;11(6):625–31.CrossRefPubMedGoogle Scholar
  25. 25.
    Shaw JM, Bornman PC, Callanan MD, Beckingham IJ, Metz DC. Long-term outcome of laparoscopic Nissen and laparoscopic Toupet fundoplication for gastroesophageal reflux disease: a prospective, randomized trial. Surg Endosc. 2010;24(4):924–32.CrossRefPubMedGoogle Scholar
  26. 26.
    Hagedorn C, Lonroth H, Rydberg L. Long-term efficacy of total (Nissen-Rosetti) and posterior partial (Toupet) fundoplication: results of a randomized clinical trial. J Gastrointest Surg. 2002;6:540–5.CrossRefPubMedGoogle Scholar
  27. 27.
    Fernando HC, Luketich JD, Christie NA, Ikramuddin S, Schauer PR. Outcomes of laparoscopic Toupet compared to laparoscopic Nissen fundoplication. Surg Endosc. 2002;16(6):905–8.CrossRefPubMedGoogle Scholar
  28. 28.
    Mardani J, Lundell L, Engström C. Total or posterior partial fundoplication in the treatment of GERD: results of a randomized trial after 2 decades of follow-up. Ann Surg. 2011;253:875.CrossRefPubMedGoogle Scholar
  29. 29.
    Kamolz T, Bammer T, Wykypiel H Jr, Pasiut M, Pointner R. Quality of life and surgical outcome after laparoscopic Nissen and Toupet fundoplication: one-year follow-up. Endoscopy. 2000;32(5):363–8.CrossRefPubMedGoogle Scholar
  30. 30.
    Kauer WK, Peters JH, DeMeester TR, et al. A tailored approach to antireflux surgery. J Thorac Cardiovasc Surg. 1995;110:141.CrossRefPubMedGoogle Scholar
  31. 31.
    Nijjar RS, Watson DI, Jamieson GG, et al. Five-year follow-up of a multicenter, double-blind randomized clinical trial of laparoscopic Nissen vs anterior 90 degrees partial fundoplication. Arch Surg. 2010;145:552.CrossRefPubMedGoogle Scholar
  32. 32.
    Khan M, Smythe A, Globe J, et al. Randomized controlled trial of laparoscopic anterior versus posterior fundoplication for gastro-oesophageal reflux disease. ANZ J Surg. 2010;80:500.CrossRefPubMedGoogle Scholar
  33. 33.
    Watson DI, Jamieson GG, Pike GK, et al. Prospective randomized double-blind trial between laparoscopic Nissen fundoplication and anterior partial fundoplication. Br J Surg. 1999;86:123.CrossRefPubMedGoogle Scholar
  34. 34.
    Engström C, Lönroth H, Mardani J, Lundell L. An anterior or posterior approach to partial fundoplication? Long-term results of a randomized trial. World J Surg. 2007;31:1221.CrossRefPubMedGoogle Scholar
  35. 35.
    Broeders JA, Roks DJ, Ahmed Ali U, et al. Laparoscopic anterior versus posterior fundoplication for gastroesophageal reflux disease: systematic review and meta-analysis of randomized clinical trials. Ann Surg. 2011;254:39.CrossRefPubMedGoogle Scholar
  36. 36.
    Broeders JA, Roks DJ, Ahmed Ali U, et al. Laparoscopic anterior 180-degree versus nissen fundoplication for gastroesophageal reflux disease: systematic review and meta-analysis of randomized clinical trials. Ann Surg. 2013;257:850.CrossRefPubMedGoogle Scholar
  37. 37.
    Svetanoff WJ, Pallati P, Nandipati K, Lee T, Mittal SK. Does the addition of fundoplication to repair the intra-thoracic stomach improve quality of life? Surg Endosc. 2016;30(10):4590–7. [Epub ahead of print].CrossRefPubMedGoogle Scholar
  38. 38.
    Kuster GG, Gilroy S. Laparoscopic technique for repair of paraesophageal hiatal hernias. J Laparoendosc Surg. 1993;3:331–8.CrossRefPubMedGoogle Scholar
  39. 39.
    Granderath FA, Carlson MA, Champion JK, Szold A, Basso N, Pointner R, et al. Prosthetic closure of the esophageal hiatus in large hiatal hernia repair and laparoscopic antireflux surgery. Surg Endosc. 2006;20(3):367–79.CrossRefPubMedGoogle Scholar
  40. 40.
    Oelschlager BK, Pellegrini CA, Hunter J, Soper N, Brunt M, Sheppard B, et al. Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial. Ann Surg. 2006;244:481–90.PubMedPubMedCentralGoogle Scholar
  41. 41.
    Frantzides CT, Madan AK, Carlson MA, Stavropoulos GP. A prospective, randomized trial of laparoscopic polytetrafluoroethylene (PTFE) patch repair vs simple cruroplasty for large hiatal hernia. Arch Surg. 2002;137(6):649–52.CrossRefPubMedGoogle Scholar
  42. 42.
    Edelman DS. Laparoscopic paraesophageal hernia repair with mesh. Surg Laparosc Endosc. 1995;5:32–7.PubMedGoogle Scholar
  43. 43.
    Carlson MA, Condon RE, Ludwig KA, Schulte WJ. Management of intrathoracic stomach with polypropylene mesh prosthesis reinforced transabdominal hiatus hernia repair. J Am Coll Surg. 1998;187:227–30.CrossRefPubMedGoogle Scholar
  44. 44.
    Frantzides CT, Carlson MA, Loizides S, Papafili A, Luu M, Roberts J, et al. Hiatal hernia repair with mesh: a survey of SAGES members. Surg Endosc. 2010;24(5):1017–24.CrossRefPubMedGoogle Scholar
  45. 45.
    Pfluke JM, Parker M, Bowers SP, Asbun HJ, Daniel SC. Use of mesh for hiatal hernia repair: a survey of SAGES members. Surg Endosc. 2012;26(7):1843–8.CrossRefPubMedGoogle Scholar
  46. 46.
    Guidelines for the Management of Hiatal Hernia. Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Assessed on 29 Apr 2016.
  47. 47.
    Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, et al. Evidence-based appraisal of antireflux fundoplication. Ann Surg. 2004;239(3):325–37.CrossRefPubMedPubMedCentralGoogle Scholar
  48. 48.
    Watson DI, Jamieson GG, Devitt PG, Mitchell PC, Game PA. Paraoesophageal hiatus hernia: an important complication of laparoscopic Nissen fundoplication. Br J Surg. 1995;82(4):521–3.CrossRefPubMedGoogle Scholar
  49. 49.
    Seelig MH, Hinder RA, Klingler PJ, Floch NR, Branton SA, Smith SL. Paraesophageal herniation as a complication following laparoscopic antireflux surgery. J Gastrointest Surg. 1999;3(1):95–9.CrossRefPubMedGoogle Scholar
  50. 50.
    Kelly J, Watson DI, Chin K, et al. Laparoscopic Nissen fundoplication: clinical outcomes at 10 years. J Am Coll Surg. 2007;205:570–5.CrossRefPubMedGoogle Scholar
  51. 51.
    Dallemagne B, Weerts J, Markiewicz S, et al. Clinical results of laparoscopic fundoplication at ten years after surgery. Surg Endosc. 2006;20:159–65.CrossRefPubMedGoogle Scholar
  52. 52.
    Watson DI, Jamieson GG, Mitchell PC, Devitt PG, Britten-Jones R. Stenosis of the esophageal hiatus following laparoscopic fundoplication. Arch Surg. 1995;130(9):1014–6.CrossRefPubMedGoogle Scholar
  53. 53.
    Watson DI, Jamieson GG, Devitt PG, Kennedy JA, Ellis T, Ackroyd R, et al. A prospective randomized trial of laparoscopic Nissen fundoplication with anterior vs posterior hiatal repair. Arch Surg. 2001;136(7):745–51.CrossRefPubMedGoogle Scholar
  54. 54.
    Watson DI, Jamieson GG, Pike GK, Davies N, Richardson M, Devitt PG. Prospective randomized double-blind trial between laparoscopic Nissen fundoplication and anterior partial fundoplication. Br J Surg. 1999;86(1):123–30.CrossRefPubMedGoogle Scholar
  55. 55.
    Watson DI, Pike GK, Baigrie RJ, Mathew G, Devitt PG, Britten-Jones R, et al. Prospective double-blind randomized trial of laparoscopic Nissen fundoplication with division and without division of short gastric vessels. Ann Surg. 1997;226(5):642–52.CrossRefPubMedPubMedCentralGoogle Scholar
  56. 56.
    Wijnhoven BP, Watson DI, Devitt PG, Game PA, Jamieson GG. Laparoscopic Nissen fundoplication with anterior versus posterior hiatal repair: long-term results of a randomized trial. Am J Surg. 2008;195(1):61–5.CrossRefPubMedGoogle Scholar
  57. 57.
    Chew CR, Jamieson GG, Devitt PG, Watson DI. Prospective randomized trial of laparoscopic Nissen fundoplication with anterior versus posterior hiatal repair: late outcomes. World J Surg. 2011;35(9):2038–44.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Norton Thoracic Institute, Dignity Health, Creighton University School of Medicine (Phoenix campus)PhoenixUSA

Personalised recommendations