Systematic review and meta-analysis of laparoscopic mesh versus suture repair of hiatus hernia: objective and subjective outcomes

Surgical Endoscopy
Chao ZhangZhonggao Wang

Abstract

Hiatus hernia (HH) contributes to the pathophysiology of gastroesophageal reflux disease (GERD). Mesh-augmentation of surgical repair might be associated with a reduced risk of recurrence and GERD. However, recurrence rates, mesh-associated complications and quality of life (QOL) after mesh versus suture repair are debated. The aim of this meta-analysis was to determine HH recurrence following mesh-augmentation versus suture repair. Secondary aims were to compare complications, mortality, QOL and GERD symptoms following different repair techniques. A systematic literature search of the PubMed, Medline, Embase, Cochrane Library, and Springer database was performed to identify relevant studies comparing mesh-augmentation versus suture repair of the esophageal hiatus. Data pertinent to the benefit versus risk outcomes for these techniques were extracted and compared by meta-analysis. The odd ratio (OR) and mean differences (MD) with 95% confidence intervals were calculated. Eleven studies (4 randomized, 9 non-randomized) comparing mesh (n = 719) versus suture (n = 755) repair were identified. Mesh-augmentation was associated with a reduced overall recurrence rate compared to suture repair [2.6 vs. 9.4%, OR 0.23 (95% CI 0.14-0.39),...Continue Reading

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Citations

Jan 25, 2019·Surgical Endoscopy·Angelo Iossa, Gianfranco Silecchia
Oct 29, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Carmen BalaguéEduardo M Targarona
Mar 4, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Alexander GavlinFernanda S Mazzariol
Apr 2, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Cristian Eugeniu Boru, Gianfranco Silecchia
Sep 17, 2017·Surgical Endoscopy·Walid K Abu SalehPuja G Khaitan
Jan 8, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tommaso Panici TonucciLuigi Bonavina
Mar 7, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Thomas E BaldockRoss C McLean
Apr 27, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A AiolfiD Bona
Jun 20, 2020·Surgical Endoscopy·Calista SpiroSiva Gananadha
Sep 21, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Vijay KorwarAudun Sigurdsson
Jun 20, 2020·Surgical Endoscopy·Priscila R ArmijoDmitry Oleynikov
Mar 1, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·P U OppeltM Reichert
Dec 7, 2019·Interactive Cardiovascular and Thoracic Surgery·Dimitrios SchizasNikolaos Arkadopoulos
May 2, 2020·Scientific Reports·Raelina S HowellCollin E M Brathwaite
Nov 10, 2020·ANZ Journal of Surgery·Felix LeeGregory Falk
Dec 18, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Emanuele RausaAlessandro Lucianetti
Oct 1, 2019·Thoracic Surgery Clinics·Taryne A Imai, Harmik J Soukiasian
Feb 9, 2021·Zentralblatt für Chirurgie·Felix NickelBeat P Müller-Stich
Jan 6, 2021·Surgical Endoscopy·Shunsuke TanabeToshiyoshi Fujiwara
Feb 20, 2021·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Siyuan LiJiangjiao Zhou
Sep 4, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Michael T OlsonRoss M Bremner
Oct 1, 2020·Bioactive Materials·Wenbo LiuHaoye Meng
Oct 31, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A AiolfiD Bona
Jun 30, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Mykola ParanyakVolodymyr Grubnik
Apr 13, 2021·Annals of Surgery·Cristian A Angeramo, Francisco Schlottmann

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