Page 11 - World Journal of Laparoscopic Surgery

Outcome of Laparoscopic Repair of Hiatus Hernia

Fig. 3: Comparison of complications with other studies Fig. 4: Follow-up (after 6 months)
patients are older than 50 years and all 30 patients are above the and durability. World J Surg 2007;31:2177–2183. DOI: 10.1007/s00268-
age of 40 years. In this study of 30 patients, more than 80% of 007-9212-2.
patients are either overweight or obese, so we can conclude that 2. Targarona EM, Novel J, Vela S, et al. Mid term analysis of safety and
overweight and obesity are important risk factors. quality of life after the laparoscopic repair of paraesophageal hiatal
Heartburn and upper abdominal discomfort are some common hernia. Surg Endosc 2004;18(7):1045–1050. DOI: 10.1007/s00464-003-
9227-1.
preoperative symptoms. In this study, upper abdominal discomfort 3. Addo A, Sanford Z, Broda A. et al. Age-related outcomes in
was seen in almost all patients and heartburn was seen in more laparoscopic hiatal hernia repair: Is there a “too old” for antireflux
than 70% of patients. Proton pump inhibitors were being used by surgery?. Surg Endosc 2021;35:429–436.
more than 85% of the patients preoperatively. 4. Herron DM, Swanstrom LL, Ramzi N, et al. Factors predictive of
Intraoperative and postoperative complications are uncommon, dysphagia after laparoscopic Nissen fundoplication. Surg Endosc
but in this study of 30 patients, 1 patient developed pneumothorax 1999;13(12):1180–1183. DOI: 10.1007/pl00009616.
and was managed conservatively and discharged but had 5. Perdikis G, Hinder RA, Lund RJ, et al. Laparoscopic Nissen fund-
complaints of chest pain in follow-up. A few of them developed oplication: where do we stand? Surg Laparosc Endosc 1997;7(1):
17–21. PMID: 9116940
dysphagia in early follow-up but most of them got rid of these 6. Singhal T, Balakrishnan S, Hussain A, et al. Management of
symptoms, which may be due to lower esophageal edema, but complications after laparoscopic Nissen’s fundoplication: a surgeon’s
persists in 1 patient after 6 months. In the follow-up, regurgitation perspective, Ann Surg Innov Res 2009;3:1. DOI: 10.1186/1750-1164-3-1.
is present in none of the patients. No patients are re-operated in 7. Sclabas GM, Sarosi GA, Saboor Khan, et al. Maingot’s Abdominal
6 months (Fig. 4). Operation: 11th edition. Chapter17: Bowel Obstruction.pp. 479–508.
8. PSS Castelijns , JEH Ponten , MCG Vd Poll, et al. Quality of life after
Nissen fundoplication in patients with gastroesophageal reflux
conclusIon disease: Comparison between long-and short-term follow-up. J
Although this study shows comparatively good outcomes, long- Minim Access Surg 2018;14(3):213–220.
term follow-up is required to know the outcome of this operation. 9. Sato K, Awad ZT, Filipi CJ, et al. Causes of long-term dysphagia after
Laparoscopic Nissen fundoplication is better surgery in patients laparoscopic Nissen fundoplication. JSLS 2002;6(1):35–40. PMID:
with hiatus hernia having good clinical outcomes. Laparoscopic 12002294.
Nissen fundoplication is an effective surgery for hiatus hernia with
minimal complications in expert hands.

references
1. Zaninotto G, Portale G, Costantini M, et al. Objective follow up after
laparoscopic repair of large type III hiatal hernia: assessment of safety

10 World Journal of Laparoscopic Surgery, Volume 16 Issue 1 (January–April 2023)