Short Term Outcome of Laparoscopic Mesh Cruroplasty in Hiatus Hernia | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 01 June 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.379259.3928 | ||
| Authors | ||
| Osama M. H. Khalil1; Amr Ibrahim1; Hisham Abdelhamid Abdelaal El sied* 2; Karim M Fathy3 | ||
| 1Professor of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| 2Department of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| 3Lecturer of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: Hiatus hernia (HH) repair remains a debated and technically demanding procedure. While primary suture repair often yields good outcomes, recurrence rates can reach up to 33%, especially in large paraesophageal hiatal hernias (LPHH). This study aimed to assess the short-term outcomes of laparoscopic mesh cruroplasty in hiatus hernia. Methods: A prospective clinical study was conducted at the General Surgery Department, Zagazig University Hospital, involving 12 patients with symptomatic HH. Most patients were male (66.7%), with a median age of 50 years (range 38–64). Diagnosis was established using upper GI endoscopy, contrast-enhanced CT, manometry, and 24-hour pH monitoring. Results: The most common presenting symptoms were heartburn (100%) and regurgitation (75%), followed by chest pain and dysphagia (25% each). Hiatus hernia type III was identified in 66.7% of cases. Operative time ranged from 100 to 160 minutes, and hospital stay varied between 1 and 14 days, with a mean of 3.25 days. Postoperative pain scores ranged from 2 to 8, with a mean of 4.67. Intraoperative complications occurred in 33.3% of cases, while early postoperative complications were reported in 83.3%. At 6-month follow-up, symptoms including heartburn, regurgitation, epigastric pain, and gas bloat were present in 8.3% of patients, with no statistically significant difference in postoperative complications between 3 and 6 months. Conclusion: Laparoscopic mesh hiatal hernioplasty improves symptoms, enhances quality of life, and lowers recurrence rates. However, current evidence remains insufficient to recommend routine mesh cruroplasty for all HH cases. | ||
| Keywords | ||
| Hiatus hernia; Laparoscopic; Mesh Cruroplasty | ||
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