What are the differences in the outcome of laparoscopic axial (I) versus paraesophageal (II–IV) hiatal hernia repair?

• DOI: 10.1007/s00464-017-5612-z
• Publication Date: 2017-06-08T15:21:35Z
• Authors: F. Köckerling; Y. Trommer; K. Zarras; D. Adolf; B. Kraft; D. Weyhe; R. Fortelny; C. Schug-Paß
• Keywords: Hiatal Hernia

Comparison of elective laparoscopic repair axial vs paraesophageal hiatal hernias reveals relevant differences in both the patient collectives and complexity procedures. The present uni- multivariable analysis data from Herniamed Registry compares outcome for 2047 (67.3%) (type I) with 996 (32.7%) (types II–IV) primary following repair. Compared patients hernias, hernia were nine years older, had a higher ASA score (ASA III/IV: 34.8 13.7%; p < 0.001), more often at least one risk factor (38.8 21.4%; 0.001). This led univariable to significantly general postoperative complications (6.0 3.0%; Reflecting greater procedures used intraoperative organ injury rates (3.7 2.3%; = 0.033) complication-related reoperation (2.1 1.1%; 0.032) identified. Univariable did not reveal any significant recurrence pain on one-year follow-up. Multivariable find evidence that use mesh influence rate. Surgical calls an experienced surgeon as well corresponding intensive medicine competence because risks surgical complications.