Abstract:

Objective

To investigate the independent risk factors of dysphagia after laparoscopic hiatal hernia repair.

Methods

The clinical data of 42 patients who underwent laparoscopic hiatal hernia repair at the Department of Hernia and Abdominal Wall Surgery, Wuhan Central Hospital, Tongji Medical College, Huazhong University of Science and Technology from January 1, 2016 to December 31, 2022,were retrospectively analyzed. The chi-square test and logistic regression analysis were used for multivariate analysis respectively, and the risk factors of postoperative dysphagia were statistically analyzed.

Results

Among the 42 patients, 25 were male and 17 were female, and the age ranged from 24 to 78 years old, with an average of (63.47±4.77) years old. After operations, 15 patients developed dysphagia after eating. The diameter of the esophageal hiatus, the results of preoperative esophageal manometry, the existence of sleep disturbance and gastric fundus folding were independent risk factors for dysphagia after laparoscopic hiatal hernia repair (P＜0.05).

Conclusion

The main reasons for dysphagia after eating in patients after laparoscopic hiatal hernia repair are closely related to factors such as the diameter of the esophageal hiatus, preoperative esophageal manometry, sleep quality and fundus fold.Individualized treatment is carried out to minimize the symptoms of postoperative choking and dysphagia,and to promote the rapid recovery of patients.

Key words: Hiatal hernia, Gastroesophageal reflux, Fundoplication, Laparoscopy, Dysphagia;Depression