Introduction: Hiatus hernia is axial type of hernia occurring at the esophageal opening of diaphragm. Large hiatal hernias have increased risk for severe complications that can include gastric strangulation, bleeding, and perforation. This study presents our technique and results of laparoscopic management of hiatus hernia.
Materials and methods: This study was done retrospectively on 42 patients from data over a period of last 10 years (April 2010–March 2020) in a tertiary care hospital.
Results: Total number of patients included in our study were 42. The range of age and the mean age of patients were 22–60 years and 38.36 (SD 8.018), respectively. Heartburn (32, 76.19%) was the most common symptom. Nissen's fundoplication was our primary choice performed in 37 (88.1%) patients. Few of our patients were comorbid and frail to whom Toupet's repair (4, 9.52%) and gastropexy (1, 2.3%) were performed, optimum to their conditions. Out of 42, mesh was placed in 17 (40.48%) patients including all the type IV and few of the type III patients. The mean operative time, mean blood loss, and hospital stay were126.90 (SD 12.781 minutes), 62.14 (SD 17.605 mL), and 4.60 (SD 1.127 days), respectively. Two patients were converted to open procedure. Recurrence occurred in three (7.1%) patients of type III hernia in whom only fundoplication was done without mesh placement.
Conclusion: This study concluded that laparoscopic management of hiatus hernia is a feasible and safe option, with a very low morbidity and mortality rate.
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