Abstract:

BACKGROUND: Although laparoscopic hiatal hernia repair had achieved good therapeutic effect, there is a debate addressing whether the biological mesh was used for surgery.
OBJECTIVE: To analyze the effect of laparoscopic hiatal hernia repair with biological mesh.
METHODS: To retrospectively analyze clinical data of 57 patients with esophageal hiatal hernia, all of whom were accepted surgical treatment at Huashan Hospital Affiliated to Fudan University from November 2006 to June 2009, including 24 cases with simple diaphragm feet suture and Nissen fundoplication (control group), 33 cases with simple diaphragm feet suture and Nissen fundoplication were undergoing mesh reforcement simultaneously (experimental group). The therapeutic results of laparoscopic hiatal hernia repair were compared and analyzed with or without mesh.
RESULTS AND CONCLUSION: During 1 year follow-up, there was no significant difference between the control and experimental groups, including recurrence rate, patient satisfactory and symptom control (P  > 0.05). Compared with the control group, the intraoperative and postoperative complications were not increased in experimental group; meanwhile, operation interval and hospital stay were not significantly longer either (P > 0.05). The short-term follow-up results showed that laparoscopic hiatal hernia repair with mesh was safe and effective, but indications should be strictly controlled.