Article ; Online: Paraesophageal Hiatal Hernia Repair With Urinary Bladder Matrix Graft.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
2018 Volume 22, Issue 2
Abstract: Background and objectives: Paraesophageal hiatal hernia repair can be performed with or without mesh reinforcement. The use, technique, and mesh type remain controversial because of mixed reports on mesh-related complications. Short-term outcomes have ... ...
Abstract | Background and objectives: Paraesophageal hiatal hernia repair can be performed with or without mesh reinforcement. The use, technique, and mesh type remain controversial because of mixed reports on mesh-related complications. Short-term outcomes have become important in all forms of surgery. Methods: From January 2012 through April 2017, all patients who underwent isolated hiatal hernia repair in our center were reviewed. Concomitant bariatric surgery cases were excluded. Repairs reinforced by porcine urinary bladder matrix (UBM) graft were compared to non-UBM repairs. Statistical comparison was based on a Wilcoxon 2-sample test or Fisher's exact test. Results: We reviewed 239 charts; 110 bariatric cases and 8 cases with non-UBM reinforcement were excluded. We identified 121 patients: 56 UBM-reinforced (46.3%) versus 65 non-UBM (53.7%). Sixteen (28.6%) UBM cases were male versus 23 (35.4%) non-UBM cases. The UBM patients were significantly older (63.9 versus 54.3; Conclusions: Hiatal hernia repair with UBM reinforcement can be performed safely with no increase in postoperative complications. |
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MeSH term(s) | Adult ; Aged ; Aged, 80 and over ; Animals ; Female ; Hernia, Hiatal/surgery ; Herniorrhaphy/methods ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Surgical Mesh ; Swine ; Transplantation, Heterologous ; Treatment Outcome ; Urinary Bladder/transplantation |
Language | English |
Publishing date | 2018-05-23 |
Publishing country | United States |
Document type | Case Reports ; Journal Article ; Observational Study |
ZDB-ID | 2011211-7 |
ISSN | 1938-3797 ; 1086-8089 |
ISSN (online) | 1938-3797 |
ISSN | 1086-8089 |
DOI | 10.4293/JSLS.2017.00100 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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