World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 2 ( May-August, 2010 ) > List of Articles

REVIEW ARTICLE

Review of Literatures on Laparoscopic Prosthetic Repair of Giant Hiatal Hernia than Pure Anatomical Repair of Crura

Amol S Jeur

Citation Information : Jeur AS. Review of Literatures on Laparoscopic Prosthetic Repair of Giant Hiatal Hernia than Pure Anatomical Repair of Crura. World J Lap Surg 2010; 3 (2):85-90.

DOI: 10.5005/jp-journals-10007-1089

Published Online: 01-08-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The recurrence rate after laparoscopic primary repair of giant hiatal hernias with paraesophageal involvement is reported to be high. Mesh reinforcement repair of hiatal defect is proposed for solving this problem which is debated. The indication for mesh use, the type of mesh to use, and the placement technique are controversial. After review of all literatures of our study it has been concluded that the use of prosthetic reinforcement of cruroplasty in laparoscopic giant hiatal hernias has very low recurrence, though certain mesh related complications are worse than recurrance which are up to certain extent are surgically correctable complications, as per different studies no one mesh type is clearly superior in terms of avoiding failure and complication. Only further studies and long-term evaluation will allow judgment of the effectiveness of laparoscopic mesh repair in patients with large hiatal hernias.


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