Clinical and quality of life assessment of patients undergoing laparoscopic hiatal hernia repair

Daniel A. Borman, Kyle E. Sunshein, Kyle S. Stigall, Vashisht V. Madabhushi, Daniel L. Davenport, Margaret A. Plymale, John Scott Roth

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


Hiatal hernia repair (HHR) and fundoplication are similarly performed among all hiatal hernia types with similar techniques. This study evaluates the effect of HHR using a standardized technique for cruroplasty with a reinforcing polyglycolic acid and trimethylene carbonate mesh (PGA/TMC) on patient symptoms and outcomes. A retrospective review of patient perioperative characteristics and postoperative outcomes was conducted for cases of laparoscopic hiatal hernia repair (LHHR) using a PGA/TMC mesh performed over 21 months. Gastroesophageal reflux disease symptom questionnaire responses were compared between preoperative and three postoperative time points. Ninety-six patients underwent LHHR with a PGA/TMC mesh. Postoperatively, the number of overall symptoms reported by patients decreased across all postoperative periods (P < 0.001). Patients reported a significant reduction in antacid use long term (P < 0.001). Laryngeal and regurgitation symptoms decreased at all time points (P < 0.05). There was no difference in dysphagia preoperatively and postoperatively at any time point. Individuals undergoing HHR with PGA/TMC mesh experienced improved regurgitation and laryngeal symptoms, and decreased use of antacid medication.

Original languageEnglish
Pages (from-to)1269-1275
Number of pages7
JournalAmerican Surgeon
Issue number11
StatePublished - 2019

Bibliographical note

Publisher Copyright:
© 2019 Southeastern Surgical Congress. All rights reserved.

ASJC Scopus subject areas

  • Surgery


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