Clinical application of laparoscopic repair of esophagealhiatal hernia with Biologic mesh

doi:10.3877/cma.j.issn.2095-8765.2019.03.007

Abstract

Abstract:

Object

To evaluate the clinical efficacy of biologic mesh in laparoscopic hiatal hernia repair in the treatment of esophageal hiatal hernia;

Methods

Methods a retrospective analysis of 12 cases of laparoscopic repair of esophageal hiatal hernia in our hospital from May 2014 to March 2017 with biologic mesh, to summary the patients preoperative and after 12 months of gerd and postoperative complications;

Results

All patients were operated successfully, there were no serious complications occurred after operation. Preoperative reflux time，the counter flow frequency，DeMeester score， GERD-Q et.al were significantly decreased after operation，and the difference was statistically significant (P＜0.05)；

Conclusion

The use of biologic mesh with esophageal hiatal hernia repair and fundoplication is an effective method for the treatment of hiatal hernia，short term followed-up results show that biological mesh is a safe and effective way to repair hiatal hernia, but needs to further study of long-term efficacy。

Key words: Biologic mesh, GERD, Hiatal hernia repair, Fundoplication

Maimaitiming Maimaitiaili, Aikebaier, yiliang Li, Pierdiwasi, peng Qu, Abudusalamu, xiuli Deng, Kelimu Abudureyimu. Clinical application of laparoscopic repair of esophagealhiatal hernia with Biologic mesh[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2019, 06(03): 144-147.

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References 15

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组别	总反流时间	反流次数	LES静息压力	DeMeester评分	GERD-Q评分
组别	h	（次）	（mmhg）	分	分
术前	2.34±1.72	132.22±76.50	8.23±5.29	29.23±21.16	11.32±3.12
术后12月	0.91±0.92	22.12±11.31	14.23±4.45	8.35±3.42	7.18±1.33
t值	4.175	6.190	4.369	5.073	5.641
P值	0.039^*	＜0.001^*	0.034^*	0.006^*	0.004^*

组别	总反流时间	反流次数	LES静息压力	DeMeester评分	GERD-Q评分
组别	h	（次）	（mmhg）	分	分
术前	2.34±1.72	132.22±76.50	8.23±5.29	29.23±21.16	11.32±3.12
术后12月	0.91±0.92	22.12±11.31	14.23±4.45	8.35±3.42	7.18±1.33
t值	4.175	6.190	4.369	5.073	5.641
P值	0.039^*	＜0.001^*	0.034^*	0.006^*	0.004^*

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