Skip to main content

Synthetic Reinforcement of Diaphragm Closure for Large Hiatal Hernia Repair

  • Chapter
  • First Online:
  • 959 Accesses

Abstract

Repair of large hiatal hernias has traditionally been a difficult procedure and is associated with significant morbidity and mortality. Repair via thoracotomy or laparotomy leads to morbidity and mortality rates of 20% and 2% respectively.1,2 With more modern perioperative care and minimally invasive techniques, morbidity and mortality have improved. Perhaps for this reason and also the increased life expectancy of patients, attention has focused more on longer term outcomes, including recurrence.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Ellis FHJ, Crozier RE, Shea JA. Paraesophageal hiatus hernia. Arch Surg. 1986;121:416–420.

    Article  PubMed  Google Scholar 

  2. Pearson FG, Cooper JD, Ilves R, Todd TR, Jamieson WR. Massive hiatal hernia with incarceration: a report of 53 cases. Ann Thorac Surg. 1983;35:45–51.

    Article  PubMed  CAS  Google Scholar 

  3. Patel HJ, Tan BB, Yee J, Orringer MB, Iannettoni MD. A 25-year experience with open primary transthoracic repair of paraesophageal hiatal hernia. J Thorac Cardiovasc Surg. 2004;127:843–849.

    Article  PubMed  Google Scholar 

  4. Low DE, Unger T. Open repair of paraesophageal hernia: reassessment of subjective and objective outcomes. Ann Thorac Surg. 2005;80:287–294.

    Article  PubMed  Google Scholar 

  5. Mehta S, Boddy A, Rhodes M. Review of outcome after laparoscopic paraesophageal hiatal hernia repair. Surg Laparosc Endosc Percutan Tech. 2006;16:301–306.

    Article  PubMed  Google Scholar 

  6. Granderath FA, Schweiger UM, Kamolz T, Pasiut M, Haas CF, Pointner R. Laparoscopic antireflux surgery with routine mesh-hiatoplasty in the treatment of gastroesophageal reflux disease. J Gastrointest Surg. 2002;6:347–353.

    Article  PubMed  Google Scholar 

  7. Carlson MA, Frantzides CT. Laparoscopic repair of paraesophageal hiatal hernia. Surg Endosc. 2004;18:1821.

    Article  PubMed  CAS  Google Scholar 

  8. Paul MG, DeRosa RP, Petrucci PE, Palmer ML, Danovitch SH. Laparoscopic tension-free repair of large paraesophageal hernias. Surg Endosc. 1997;11:303–307.

    Article  PubMed  CAS  Google Scholar 

  9. Trus TL, Bax T, Richardson WS, Branum GD, Mauren SJ, Swanstrom LL, Hunter JG. Complications of laparoscopic paraesophageal hernia repair. J Gastrointest Surg. 1997;1:221–228.

    Article  PubMed  CAS  Google Scholar 

  10. Kelty CJ, Falk GL. Mesh repairs in hiatal surgery. The case against mesh repairs in hiatal surgery. Ann R Coll Surg Engl. 2007;89:479–481.

    Article  PubMed  Google Scholar 

  11. Davis SSJ. Current controversies in paraesophageal hernia repair. Surg Clin North Am. 2008;88:959–978.

    Article  PubMed  Google Scholar 

  12. Carlson MA, Richards CG, Frantzides CT. Laparoscopic prosthetic reinforcement of hiatal herniorrhaphy. Dig Surg. 1999;16:407–410.

    Article  PubMed  CAS  Google Scholar 

  13. Frantzides CT, Richards CG, Carlson MA. Laparoscopic repair of large hiatal hernia with polytetrafluoroethylene. Surg Endosc. 1999;13:906–908.

    Article  PubMed  CAS  Google Scholar 

  14. Basso N, De Leo A, Genco A, Rosato P, Rea S, Spaziani E, Primavera A. 360 degrees laparoscopic fundoplication with tension-free hiatoplasty in the treatment of symptomatic gastroesophageal reflux disease. Surg Endosc. 2000;14:164–169.

    Article  PubMed  CAS  Google Scholar 

  15. Turkcapar A, Kepenekci I, Mahmoud H, Tuzuner A. Laparoscopic fundoplication with prosthetic hiatal closure. World J Surg. 2007;31:2169–2176.

    Article  PubMed  Google Scholar 

  16. Keidar A, Szold A. Laparoscopic repair of paraesophageal hernia with selective use of mesh. Surg Laparosc Endosc Percutan Tech. 2003;13:149–154.

    Article  PubMed  Google Scholar 

  17. Athanasakis H, Tzortzinis A, Tsiaoussis J, Vassilakis JS, Xynos E. Laparoscopic repair of paraesophageal hernia. Endoscopy. 2001;33:590–594.

    Article  PubMed  CAS  Google Scholar 

  18. Hui TT, Thoman DS, Spyrou M, Phillips EH. Mesh crural repair of large paraesophageal hiatal hernias. Am Surg. 2001;67:1170–1174.

    PubMed  CAS  Google Scholar 

  19. Leeder PC, Smith G, Dehn TC. Laparoscopic management of large paraesophageal hiatal hernia. Surg Endosc. 2003;17:1372–1375.

    Article  PubMed  CAS  Google Scholar 

  20. Oelschlager BK, Pellegrini CA, Hunter J, Soper N, Brunt M, Sheppard B, Jobe B, Polissar N, Mitsumori L, Nelson J, Swanstrom L. Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial. Ann Surg. 2006;244:481–490.

    PubMed  Google Scholar 

  21. Granderath FA, Schweiger UM, Kamolz T, Asche KU, Pointner R. Laparoscopic Nissen fundoplication with prosthetic hiatal closure reduces postoperative intrathoracic wrap herniation: preliminary results of a prospective randomized functional and clinical study. Arch Surg. 2005;140:40–48.

    Article  PubMed  Google Scholar 

  22. 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;137:649–652.

    Article  PubMed  Google Scholar 

  23. Ringley CD, Bochkarev V, Ahmed SI, Vitamvas ML, Oleynikov D. Laparoscopic hiatal hernia repair with human acellular dermal matrix patch: our initial experience. Am J Surg. 2006;192:767–772.

    Article  PubMed  Google Scholar 

  24. Muller-Stich BP, Holzinger F, Kapp T, Klaiber C. Laparoscopic hiatal hernia repair: long-term outcome with the focus on the influence of mesh reinforcement. Surg Endosc. 2006;20:380–384.

    Article  PubMed  CAS  Google Scholar 

  25. Jacobs M, Gomez E, Plasencia G, Lopez-Penalver C, Lujan H, Velarde D, Jessee T. Use of surgisis mesh in laparoscopic repair of hiatal hernias. Surg Laparosc Endosc Percutan Tech. 2007;17:365–368.

    Article  PubMed  Google Scholar 

  26. Zaninotto G, Portale G, Costantini M, Fiamingo P, Rampado S, Guirroli E, Nicoletti L, Ancona E. Objective follow-up after laparoscopic repair of large type III hiatal hernia. Assessment of safety and durability. World J Surg. 2007;31:2177–2183.

    Article  PubMed  Google Scholar 

  27. Soricelli E, Basso N, Genco A, Cipriano M. Long-term results of hiatal hernia mesh repair and antireflux laparoscopic surgery. Surg Endosc. 2009; Apr 3 [Epub ahead of print].

    Google Scholar 

  28. Kamolz T, Granderath FA, Bammer T, Pasiut M, Pointner R. Dysphagia and quality of life after laparoscopic Nissen fundoplication in patients with and without prosthetic reinforcement of the hiatal crura. Surg Endosc. 2002;16:572–577.

    Article  PubMed  CAS  Google Scholar 

  29. Stadlhuber RJ, Sherif AE, Mittal SK, Fitzgibbons RJJ, Michael Brunt L, Hunter JG, Demeester TR, Swanstrom LL, Daniel Smith C, Filipi CJ. Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series. Surg Endosc. 2009;23:1219–1226.

    Article  PubMed  Google Scholar 

  30. Desai KM, Diaz S, Dorward IG, Winslow ER, La Regina MC, Halpin V, Soper NJ. Histologic results 1 year after bioprosthetic repair of paraesophageal hernia in a canine model. Surg Endosc. 2006;20:1693–1697.

    Article  PubMed  CAS  Google Scholar 

  31. Jansen M, Otto J, Jansen PL, Anurov M, Titkova S, Willis S, Rosch R, Ottinger A, Schumpelick V. Mesh migration into the esophageal wall after mesh hiatoplasty: comparison of two alloplastic materials. Surg Endosc. 2007;21:2298–2303.

    Article  PubMed  CAS  Google Scholar 

  32. Smith GS, Hazebroek EJ, Eckstein R, Berry H, Smith WM, Isaacson JR, Falk GL, Martin CJ. Evaluation of DualMesh for repair of large hiatus hernia in a porcine model. Surg Endosc. 2008;22:1625–1631.

    Article  PubMed  CAS  Google Scholar 

  33. Muller-Stich BP, Mehrabi A, Kenngott HG, Fonouni H, Reiter MA, Kuttymoratov G, Nickel F, Linke GR, Wolf I, Koninger J, Gutt CN. Is a circular polypropylene mesh appropriate for application at the esophageal hiatus? Results from an experimental study in a porcine model. Surg Endosc. 2009;23:1372–1378.

    Article  PubMed  Google Scholar 

  34. Draaisma WA, Gooszen HG, Tournoij E, Broeders IA. Controversies in paraesophageal hernia repair: a review of literature. Surg Endosc. 2005;19:1300–1308.

    Article  PubMed  CAS  Google Scholar 

  35. Wolf PS, Oelschlager BK. Laparoscopic paraesophageal hernia repair. Adv Surg. 2007;41:199–210.

    Article  PubMed  Google Scholar 

  36. Badylak S, Kokini K, Tullius B, Simmons-Byrd A, Morff R. Morphologic study of small intestinal submucosa as a body wall repair device. J Surg Res. 2002;103:190–202.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag London Limited

About this chapter

Cite this chapter

Oelschlager, B.K., Wassenaar, E.B. (2011). Synthetic Reinforcement of Diaphragm Closure for Large Hiatal Hernia Repair. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-84996-492-0_38

Download citation

  • DOI: https://doi.org/10.1007/978-1-84996-492-0_38

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84996-364-0

  • Online ISBN: 978-1-84996-492-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics