Abstract:
Objective To evaluate the clinical efficacy of polypropylene patch in laparoscopic hiatal hernia repair in the treatment of esophageal hiatal hernia complicated with gastroesophageal reflux disease.
Methods A total of 38 cases of laparoscopic repair of esophageal hiatal hernia in our hospital from May 2013 to March 2015 were with Johnson PHY patch, Analyzed the 24 hours esophageal pH monitoring, high resolution manometry, gastroesophageal reflux disease questionnaire(GERDQ)score and postoperative complications of patients preoperative and after 6 months.
Results All patients were operated successfully, and 27 cases of Nissen fundoplication, 8 cases were taken Toupet fundoplication, 73 cases were taken Dor fundoplication, there were no serious complications occurred after operation.Preoperative reflux time, the counter flow frequency, DeMeester score, GERDQ were significantly decreased after operation, and the difference was statistically significant(P<0.05).
Conclusion The use of polypropylene mesh with Endoscopic esophageal hiatal hernia repair and fundoplication is an effective method for the treatment of hiatal hernia, it has the advantages of minimal invasion, fast recovery, less complications and low recurrence rate.
Key words:
Gastroesophageal Reflux,
Hernia, Hiatal,
Fundoplication,
Polypropylenes
Maimaitiming Maimaitiaili·, Shalikejiang Shalayiding·, Aili Aikebaier·, Abudureyimu Kelimu·. Clinical application of laparoscopic repair of esophageal hiatal hernia with polypropylene mesh[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2016, 03(04): 170-172.