Clinical analysis of 46 cases of hiatal hernia with gastroesophageal reflux disease treated by laparoscopic surgery in primary hospital

doi:10.3877/cma.j.issn.2095-8765.2026.01.004

Abstract

Abstract:

Objective

To investigate the clinical efficacy of laparoscopic hiatal hernia repair combined with fundoplication in the treatment of patients with hiatal hernia (HH) complicated by gastroesophageal reflux disease (GERD) in primary hospital.

Methods

A retrospective analysis was conducted on 46 cases of patients treated with laparoscopic hiatal hernia repair combined with fundoplication for HH complicated by GERD at Linxiang District People’s Hospital from April 2019 to June 2025. The surgical methods and techniques were summarized, and perioperative data were analyzed. Postoperative outcomes were evaluated using the short form health survey (SF-36), GERD questionnaire (GERD-Q), and numerical rating scale (NRS).

Results

All 46 patients underwent successful surgery, with an average operative time of (103.17± 26.97) min, average blood loss of (12.71± 8.94) ml, and average time to resume liquid diet of (1.37±0.49) days. Postoperative pain scores on the NRS were (1.97±0.79) points, with 2 cases of pneumothorax and 3 cases of dysphagia. The average postoperative hospitalization duration was (5.40± 1.31) days. Patient satisfaction was high at 6 months postoperatively, with an SF-36 score of (83.88±5.5) points. Postoperative reflux symptoms were significantly alleviated, and the GERD-Q score [(2.11±0.90) points] was markedly lower than the preoperative score [(11.29±2.02) points], with a statistically significant difference (P<0.01).

Conclusion

Laparoscopic hiatal hernia repair combined with fundoplication is safe, feasible, and effective in treating HH complicated by GERD.

Key words: Hernia, hiatal, Gastroesophageal reflux disease, Laparoscopic surgery, Primary hospital

Xiaohui Liu, Feng Luo, Shunan Lu, Zhengxiong Zhang, Rongsong Yang, Yanbin Zi, Peng Li. Clinical analysis of 46 cases of hiatal hernia with gastroesophageal reflux disease treated by laparoscopic surgery in primary hospital[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2026, 13(01): 25-30.

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References 13

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