Part 16 - Abstract: Modified surgical technique for large or giant hiatus hernia

1 page

SUMMARY:
The page presents an abstract of a retrospective study of 100 patients (2017–2022) evaluating non-absorbable mesh reinforcement with Nissen fundoplication and gastropexy for large or giant hiatus hernia. It reports a 4% recurrence at 2 years, 92% improvement in GERD symptoms, minimal complications, and 95% patient satisfaction.

CONTENT:
abstract: <p>The objective of this study was to evaluate the clinical outcomes of a modified technique for the surgical treatment of a large or giant hiatus hernia (HH). This technique involves the use of a non-absorbable mesh to reinforce the hiatal closure, combined with a Nissen fundoplication and gastropexy. A retrospective analysis was conducted on 100 patients who underwent this procedure between 2017 and 2022. The primary outcomes measured were the recurrence of HH and the improvement of gastroesophageal reflux disease (GERD) symptoms. Secondary outcomes included postoperative complications and patient satisfaction. The results showed a low recurrence rate of 4% at the 2-year follow-up. Significant improvement in GERD symptoms was observed in 92% of patients. Postoperative complications were minimal, with no instances of mesh-related erosions or strictures. Patient satisfaction was high, with 95% of patients reporting a significant improvement in their quality of life. The study concludes that the combination of non-absorbable mesh reinforcement, Nissen fundoplication, and gastropexy is a safe and effective approach for managing large or giant HH, providing durable anatomical repair and excellent symptomatic relief.</p>
<p> </p>
<p><strong>Keywords:</strong> Hiatus hernia, Nissen fundoplication, Gastropexy, Non-absorbable mesh, Surgical outcomes.</p>
<p> </p>
<p><strong>Introduction:</strong></p>
<p>Hiatus hernia