Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation
Abstract Background The management of a recurrent (symptomatic) hiatal hernia remains controversial. This study aimed to review the outcomes of patients who underwent recurrent repair of hiatal hernias. Methods Thirteen patients who underwent recurrent hiatal hernia repairs at our hospital between 2...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-025-02760-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544962742681600 |
|---|---|
| author | Yuxiao Chu Yanyang Liu Rong Hua Qiyuan Yao |
| author_facet | Yuxiao Chu Yanyang Liu Rong Hua Qiyuan Yao |
| author_sort | Yuxiao Chu |
| collection | DOAJ |
| description | Abstract Background The management of a recurrent (symptomatic) hiatal hernia remains controversial. This study aimed to review the outcomes of patients who underwent recurrent repair of hiatal hernias. Methods Thirteen patients who underwent recurrent hiatal hernia repairs at our hospital between 2018 and 2024 were reviewed retrospectively. The postoperative outcomes and complications of these patients were investigated. Results Thirteen patients were included in this study. The median time of reoperation from the previous hiatal hernia repair was 3 years (IQR, 2.5–5). Patients with a history of only one repair accounted for 76.9%, whereas those with two repairs accounted for 23.1%. All reoperations were completed laparoscopically. No deaths or readmissions during the 30-day postoperative period were recorded at an average of 30.5 ± 20.9 (6–68) months of follow-up. No other complications or symptoms were recorded, and oral medication was discontinued in eleven (84.6%) patients. The average GERD-Q score was 6.7 ± 1.3 postoperatively, whereas it was 10.4 ± 3.0 preoperatively. Conclusion We present several surgical strategies for addressing the recurrence of hiatal hernias. The key is not only to accurately close the hernia ring but also to fix the fundoplication to reduce the impact on the tissue around the hiatus to reduce the incidence of recurrence. Our three-point fixation technique showed promising effects in preventing recurrence but needs further study. Clinical Trial Number ChiCTR2100049995. |
| format | Article |
| id | doaj-art-41ab56064f7e4efdbc117a5cb83f6670 |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-41ab56064f7e4efdbc117a5cb83f66702025-01-12T12:06:04ZengBMCBMC Surgery1471-24822025-01-012511710.1186/s12893-025-02760-9Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixationYuxiao Chu0Yanyang Liu1Rong Hua2Qiyuan Yao3Center for Obesity and Hernia Surgery, Department of General Surgery, Huashan Hospital, Fudan UniversityCenter for Obesity and Hernia Surgery, Department of General Surgery, Huashan Hospital, Fudan UniversityCenter for Obesity and Hernia Surgery, Department of General Surgery, Huashan Hospital, Fudan UniversityCenter for Obesity and Hernia Surgery, Department of General Surgery, Huashan Hospital, Fudan UniversityAbstract Background The management of a recurrent (symptomatic) hiatal hernia remains controversial. This study aimed to review the outcomes of patients who underwent recurrent repair of hiatal hernias. Methods Thirteen patients who underwent recurrent hiatal hernia repairs at our hospital between 2018 and 2024 were reviewed retrospectively. The postoperative outcomes and complications of these patients were investigated. Results Thirteen patients were included in this study. The median time of reoperation from the previous hiatal hernia repair was 3 years (IQR, 2.5–5). Patients with a history of only one repair accounted for 76.9%, whereas those with two repairs accounted for 23.1%. All reoperations were completed laparoscopically. No deaths or readmissions during the 30-day postoperative period were recorded at an average of 30.5 ± 20.9 (6–68) months of follow-up. No other complications or symptoms were recorded, and oral medication was discontinued in eleven (84.6%) patients. The average GERD-Q score was 6.7 ± 1.3 postoperatively, whereas it was 10.4 ± 3.0 preoperatively. Conclusion We present several surgical strategies for addressing the recurrence of hiatal hernias. The key is not only to accurately close the hernia ring but also to fix the fundoplication to reduce the impact on the tissue around the hiatus to reduce the incidence of recurrence. Our three-point fixation technique showed promising effects in preventing recurrence but needs further study. Clinical Trial Number ChiCTR2100049995.https://doi.org/10.1186/s12893-025-02760-9Hiatal herniaMeshRecurrenceReoperationSurgical strategy |
| spellingShingle | Yuxiao Chu Yanyang Liu Rong Hua Qiyuan Yao Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation BMC Surgery Hiatal hernia Mesh Recurrence Reoperation Surgical strategy |
| title | Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation |
| title_full | Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation |
| title_fullStr | Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation |
| title_full_unstemmed | Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation |
| title_short | Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation |
| title_sort | surgical strategies for recurrent hiatal hernia three point fundoplication fixation |
| topic | Hiatal hernia Mesh Recurrence Reoperation Surgical strategy |
| url | https://doi.org/10.1186/s12893-025-02760-9 |
| work_keys_str_mv | AT yuxiaochu surgicalstrategiesforrecurrenthiatalherniathreepointfundoplicationfixation AT yanyangliu surgicalstrategiesforrecurrenthiatalherniathreepointfundoplicationfixation AT ronghua surgicalstrategiesforrecurrenthiatalherniathreepointfundoplicationfixation AT qiyuanyao surgicalstrategiesforrecurrenthiatalherniathreepointfundoplicationfixation |