To analyze the clinical efficacy of laparoscopic hiatal hernia (HH) repair combined with fundoplication in the treatment of HH combined with gastroesophageal reflux disease (GERD).

The clinical data of 78 patients with HH combined with GERD who were hospitalized and operated in the Department of General Surgery of Bayin’guoleng Mongol Mongol People’s Autonomous Prefecture Hospital in Xinjiang from January 2008 to December 2023 were retrospectively analyzed. The Gastroesophageal Reflux Disease Questionnaire (GERD-Q), Reflux Disease Questionnaire (RDQ), Reflux Symptom Index Questionnaire (RSIQ) scores, body mass, and Body Mass Index (BMI) of the patients at the preoperative and postoperative follow-ups were recorded, Paired t-tests were used to compare the differences in these indicators between the preoperative and postoperative periods. Bivariate Pearson correlation analysis was used to assess the correlation between RDQ and RSI scale scores, body weight, BMI, and symptom severity (GERD-Q score).

Postoperatively, the GERD-Q score decreased from (11.27±1.95) to (6.51±1.18), the RDQ score from (17.78±3.71) to (8.76±2.23), the RSIQ score from (18.94±3.84) to (9.11±2.31), and body mass from (68.67±10.33) kg to (63.73±6.84) kg, and BMI decreased from (24.01±4.12) kg/m² to (22.30±3.17) kg/m², all of which were statistically significant differences compared with the preoperative period (t = 22.501, 27.589, 23.993, 7.807, and 7.726, all P<0.001); correlation analyses of GERD-Q scores showed that RDQ, RSI scale score, body weight, and BMI were positively correlated with Gerd symptom severity, and the difference was statistically significant (r=0.557, 0.514, 0.283, 0.386, P<0.001, <0.001, = 0.012, <0.001).

Laparoscopic HH repair combined with fundoplication can be effective in treating HH combined with GERD and achieve improvement of reflux symptoms and weight loss.