Gastroesophageal Reflux Disease Clinical Trial
Official title:
Approach to Hiatal Hernia Repair Based on Collagen Study
Groups of patients who underwent laparoscopic repair of large hiatal hernias by primary posterior crural repair and crural repair with ProGrip™ mesh techniques were examined for recurrence rate of hiatal hernias, quality of life according to the GERD-HRQL questionnaire. Clinical evaluation was performed at 3, 6, 12, 24, 36, and 48 months after surgery.
The laparoscopic repair of large hiatal hernias is mostly performed by cruroraphy or
cruroraphy with mesh reinforcement techniques.
Cruroraphy it is suturing of the right and left diaphragmatic crura using nonabsorbable
stitches. Main disadvantage of such technique is the high hiatal hernia recurrence rate after
surgery.
Cruroraphy with mesh reinforcement technique followed by relatively less hiatal hernia
recurrence rate but associated with a large number of mesh-related complications.
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