Hiatal hernia repair with mesh: a survey of SAGES members View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-05

AUTHORS

Constantine T. Frantzides, Mark A. Carlson, Sofronis Loizides, Anastasia Papafili, Mihn Luu, Jacob Roberts, Tallal Zeni, Alexander Frantzides

ABSTRACT

BACKGROUND: Primary repair of large hiatal hernia is associated with a high recurrence rate. The use of mesh may reduce this recurrence rate. The indication for mesh use, the type of mesh to use, and the placement technique are controversial. A survey of surgeon practice was undertaken to obtain a better understanding of the controversies surrounding this clinical problem. METHODS: A questionnaire on the technique and results of mesh hiatal herniorrhaphy was sent to 1,192 members of the Society of Gastrointestinal and Endoscopic Surgeons (SAGES). RESULTS: There were 275 responses; 261 of these were analyzed. A total of 5,486 hiatal hernia repairs with mesh were reported; 77% and 23% were performed laparoscopically vs open, respectively. The most common indication for mesh usage was an increased size hiatal defect (46% of respondents). The most common mesh types were biomaterial (28%), polytetrafluoroethylene (25%), and polypropylene (21%). Suture anchorage was the most common fixation technique (56% of respondents). The findings showed a failure rate of 3%, a stricture rate of 0.2%, and an erosion rate of 0.3%. Biomaterial tended to be associated with failure, whereas nonabsorbable mesh tended to be associated with stricture and erosion. CONCLUSIONS: The use of mesh during hiatal hernia repair resulted in a reported recurrence rate which appeared to be lower than that obtained historically without mesh. No one mesh type was clearly superior in terms of avoiding failure and complication. More... »

PAGES

1017-1024

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00464-009-0718-6

    DOI

    http://dx.doi.org/10.1007/s00464-009-0718-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1038723817

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19997755


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