Format

Send to

Choose Destination
See comment in PubMed Commons below
Arch Surg. 2002 Jun;137(6):649-52.

A prospective, randomized trial of laparoscopic polytetrafluoroethylene (PTFE) patch repair vs simple cruroplasty for large hiatal hernia.

Author information

1
Department of Surgery, Rush University, Chicago, IL, USA. Constantine_T_Frantzides@rush.edu

Abstract

HYPOTHESIS:

Large hiatal hernias are prone to disruption, resulting in reherniation, when repaired with simple cruroplasty. The use of mesh may decrease the rate of reherniation in the laparoscopic repair of large hiatal hernias.

DESIGN:

Prospective, randomized controlled trial.

SETTING:

University-affiliated private hospital.

PATIENTS:

Seventy-two individuals undergoing laparoscopic Nissen fundoplication with a hernia defect greater or equal to 8 cm in diameter.

INTERVENTION:

Nissen fundoplication with posterior cruroplasty (n = 36) vs Nissen fundoplication with posterior cruroplasty and onlay of polytetrafluoroethylene (PTFE) mesh (n = 36).

MAIN OUTCOME MEASURES:

Recurrences, complications, hospital stay, operative time, and cost.

RESULTS:

Patients in both groups had similar hospital stays, but the PTFE group had a longer operative time. The cost of the repair was $960 +/- $70 more in the group with the prosthesis. Complications were minor and similar in both groups. There were 8 hernia recurrences (22%) in the primary repair group and none in the PTFE group (P<.006).

CONCLUSION:

The use of prosthetic reinforcement of cruroplasty in large hiatal hernias may prevent hernia recurrences.

PMID:
12049534
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Support Center