Laparoscopic posterior cruroplasty: a patient tailored approach.
Esophageal crura
Gastroesophageal reflux disease (GERD)
Hiatus hernia
Recurrence
“Patient tailored”
Journal
Hernia : the journal of hernias and abdominal wall surgery
ISSN: 1248-9204
Titre abrégé: Hernia
Pays: France
ID NLM: 9715168
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
07
02
2020
accepted:
06
04
2020
pubmed:
27
4
2020
medline:
20
4
2022
entrez:
27
4
2020
Statut:
ppublish
Résumé
Different surgical variations have been described for laparoscopic crural repair however, the technique is not standardized and left to the surgeons' preference. The purpose of this study is to describe a standardized "patient tailored" approach for laparoscopic posterior cruroplasty in the setting of elective hiatal hernia repair. Retrospective single-center study was conducted (November 2015 to November 2019). The technical aspects of a standardized "patient tailored" laparoscopic posterior crural repair are described. Perioperative outcomes and patients' quality of life, measured with the disease specific Gastro-Esophageal Reflux Disease Health-Related Quality of Life (GERD-HRQL) and generic Short Form-36 (SF-36), were analyzed. One hundred and forty-one patients were treated for symptomatic hiatal hernia according to the described "patient tailored" concept. Overall, 102 (72.3%) patients underwent simple suture repair while simple suture repair buttressed with biosynthetic resorbable U shaped mesh [Phasix ST The application of a standardized "patient tailored" concept for laparoscopic posterior cruroplasty seems safe and effective in the medium-term follow-up with promising perioperative outcomes and quality of life improvement. This approach may be valuable to assure procedure reproducibility, standardization, and to uniformly interpret the outcomes.
Sections du résumé
BACKGROUND
Different surgical variations have been described for laparoscopic crural repair however, the technique is not standardized and left to the surgeons' preference.
OBJECTIVE
The purpose of this study is to describe a standardized "patient tailored" approach for laparoscopic posterior cruroplasty in the setting of elective hiatal hernia repair.
METHODS
Retrospective single-center study was conducted (November 2015 to November 2019). The technical aspects of a standardized "patient tailored" laparoscopic posterior crural repair are described. Perioperative outcomes and patients' quality of life, measured with the disease specific Gastro-Esophageal Reflux Disease Health-Related Quality of Life (GERD-HRQL) and generic Short Form-36 (SF-36), were analyzed.
RESULTS
One hundred and forty-one patients were treated for symptomatic hiatal hernia according to the described "patient tailored" concept. Overall, 102 (72.3%) patients underwent simple suture repair while simple suture repair buttressed with biosynthetic resorbable U shaped mesh [Phasix ST
CONCLUSION
The application of a standardized "patient tailored" concept for laparoscopic posterior cruroplasty seems safe and effective in the medium-term follow-up with promising perioperative outcomes and quality of life improvement. This approach may be valuable to assure procedure reproducibility, standardization, and to uniformly interpret the outcomes.
Identifiants
pubmed: 32335756
doi: 10.1007/s10029-020-02188-5
pii: 10.1007/s10029-020-02188-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
619-626Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
© 2020. Springer-Verlag France SAS, part of Springer Nature.
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