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13 Φεβ 2023 · The recurrence rate of hiatal hernia (HH) after laparoscopic surgery with crural repair and Nissen, Toupet or Dor fundoplication for primary repair is demonstrated to be between 25 and 42% [1].
1 Απρ 2018 · Postoperative symptoms, endoscopic findings, or radiologic findings are important for the definition of the type of recurrence and for the indication of appropriate treatment. The proposed score and classification are useful in order to specify the hiatal hernia recurrence and treatment.
After primary surgery, recurrence of HH was diagnostically confirmed in 64 patients (20.8%). Use of VMS during primary surgery was significantly associated with fewer recurrences (OR = 0.34, p = 0.048), corrected for confounding factors.
While the majority of hernia surgeries are successful, there is a chance that a hernia could return months or even years after hernia surgery. When hernias reappear near or at the location of a previous repair, they are called recurrent hernias.
The recurrence rate of hiatal hernia (HH) after laparoscopic surgery with crural repair and Nissen or Toupet fundoplication is high (< 25–42%). HH repair can be reinforced with additional anterior sutures, vertical mesh strips (VMS) or mesh placement but the efect in the long-term (> 1 year) is still unclear.
The recurrence rate of hiatal hernia after laparoscopic fundoplications is significantly higher in patients with large hernias (grade 3 and 4 according to radiological classification). The surgery technique (Nissen or Toupet fundoplication) was not a significant factor affecting the recurrence rate ….
Background. Symptomatic hiatal hernia (HH) with pouch migration after previous laparoscopic Roux-en-Y gastric bypass (RYGB) is an uncommon complication, with limited extant evidence for the utility of surgical repair. Objective. To evaluate the presentation and resolution of symptoms in patients with HH repair after previous RYGB. Setting.