Research progress of laparoscopic mesh repair for hiatal hernia

doi:10.3877/cma.j.issn.1674-392X.2022.01.002

Abstract

Abstract:

The first choice of treatment for hiatal hernia is surgery. Laparoscopic minimally invasive treatment has the advantages of less trauma, fast recovery and less postoperative complications, and has become the first choice for hiatal hernia repair at present. Laparoscopic repair of hiatal hernia with suture alone will produce great tension when closing large hiatal defect, with risk of rupture in the long term. The recurrence rate is as high as 42%. In view of this reason, mesh reinforcement repair is more and more widely used in hiatal hernia repair. However, there is still no unified standard in the application indication, material, shape, fixation and prevention of complications of the mesh, and there is a big controversy. Most surgical treatment still depends on the clinical experience of surgeons. This article reviews and summarizes the hot issues of mesh application in laparoscopic hiatal hernia repair.

Key words: Hiatal hernia, Herniorrhaphy, Mesh repair, Laparoscopes

Shuo Han, Huiqi Yang, Yusheng Nie, Jie Chen. Research progress of laparoscopic mesh repair for hiatal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(01): 8-13.

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