Long-term outcome of cruroplasty reinforcement with human acellular dermal matrix in large paraesophageal hiatal hernia

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Yong Kwon LeeDmitry Oleynikov

Abstract

Laparoscopic repair of a large hiatal hernia using simple sutures only for the cruroplasty is associated with a high recurrence rate. The solution was to place synthetic mesh over the cruroplasty thereby decreasing recurrence rates in exchange for complications, such as gastric and esophageal erosions. Our initial report investigated the use of human acellular dermal matrix (AlloDerm) as a more suitable alternative. This study highlights our long-term results>1 year of cruroplasty reinforcement with AlloDerm in the repair of large hiatal hernias. This is a retrospective study performed at our university. Between 2005 and 2006, 52 consecutive patients with large hiatal hernias had the cruroplasty site reinforced with AlloDerm. The variables analyzed were age, sex, weight, height, hiatal hernia size, operative time, length of hospital stay, follow-up, and postoperative complications. The mean for age was 56.7 years, for weight was 87.9 kg, for height 117 cm, for hernia size was 5.75 cm, operative time was 121 min, and for hospital stay was 1.36 days. Complication included pneumothorax, 3 (5.5%); atelectasis, 1 (1.9%); urinary retention, 1 (1.9%); and recurrence, 2 (3.8%). Laparoscopic hiatal hernia repair with reinforcement using...Continue Reading

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Citations

Nov 16, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Anton SimorovDmitry Oleynikov
Jul 28, 2011·Langenbeck's Archives of Surgery·Stavros A AntoniouFrank A Granderath
Dec 10, 2009·Surgical Endoscopy·Constantine T FrantzidesAlexander Frantzides
Nov 4, 2010·Surgical Endoscopy·Albert W TsangDmitry Oleynikov
Jan 26, 2012·Surgical Endoscopy·Jason M PflukeC Daniel Smith
Jun 25, 2013·Surgical Endoscopy·Edgar Furnée, Eric Hazebroek
Nov 20, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marco G Patti, Piero M Fisichella
Sep 26, 2013·Journal of Visceral Surgery·D ColletL Chiche
Nov 1, 2012·Plastic and Reconstructive Surgery·Bruce Freedman
Aug 10, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Véronique De MoorIssam El Nakadi
Oct 12, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Dennis F Diaz, J Scott Roth
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·James M MassulloBrian R Binetti
Mar 26, 2016·Frontiers in Surgery·Filimon AntonakisFriedrich Kallinowski
Oct 17, 2014·Surgical Endoscopy·Kyle C WardBrent D Matthews
Jul 18, 2014·Surgical Endoscopy·Rachel JonesDmitry Oleynikov
Jun 21, 2014·International Journal of Surgery·Pablo Priego JiménezJavier Escrig-Sos
Jan 6, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F A Granderath
Feb 19, 2009·Surgical Innovation·Michael HilesAlicia M Altizer
May 16, 2009·Surgical Innovation·J Esteban Varela, Samuel P Jacks
Aug 2, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Toshiyuki MoriMasanori Sugiyama
Nov 6, 2015·Frontiers in Surgery·Stavros A AntoniouFerdinand Köckerling
May 12, 2017·Surgical Innovation·Daniel LomelinDmitry Oleynikov
Mar 25, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·D WeyheA Kluge
Nov 5, 2019·World Journal of Gastrointestinal Surgery·Bernabé M Quesada, Adelina E Coturel
Feb 28, 2013·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·E SchmidtD Oleynikov
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May 3, 2011·Cirugía española·Jorge de Tomás PalaciosFernando Turégano Fuentes

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