E. J. Hazebroek MD; A. Ng MB BS; D. H. K. Yong MB BS, FRACS; H. Berry; S. Leibman BSc(Med), MB BS, FRACS; G. S. Smith MS, FRACS.
CLINICAL EVALUATION OF LAPAROSCOPIC REPAIR OF LARGE HIATAL HERNIAS WITH TiMesh
Article first published online: 8 OCT 2008
© 2008 The Authors Journal compilation © 2008 Royal Australasian College of Surgeons
ANZ Journal of Surgery
Volume 78, Issue 10, pages 914–917, October 2008
How to Cite
Hazebroek, E. J., Ng, A., Yong, D. H. K., Berry, H., Leibman, S. and Smith, G. S. (2008), CLINICAL EVALUATION OF LAPAROSCOPIC REPAIR OF LARGE HIATAL HERNIAS WITH TiMesh. ANZ Journal of Surgery, 78: 914–917. doi: 10.1111/j.1445-2197.2008.04691.x
- Issue published online: 8 OCT 2008
- Article first published online: 8 OCT 2008
- Accepted for publication 11 April 2008.
- hiatal hernia;
The use of mesh for laparoscopic repair of large hiatal hernias may decrease recurrence rates in comparison with primary suture repair. The type of mesh material, as well as its size and shape, is still a matter of debate. The aim of this study was to evaluate a lightweight polypropylene mesh (TiMesh) repair of hiatal hernias, with particular reference to symptomatic relief, patient satisfaction and quality of life (QOL). From a prospectively maintained clinical database, 40 consecutive patients were identified who underwent elective laparoscopic hiatal hernia repair with TiMesh between November 2004 and December 2006. QOL and symptom analysis was carried out using Quality of Life in Reflux and Dyspepsia (QOLRAD) and dysphagia questionnaires preoperatively, and postoperatively after 6 weeks, 6 months, and 1 year. The mean age of the patient was 65.2 years (range: 40–93 years). Total complication rate was 7.5%; all complications were treated without residual disability. There was no 30-day mortality. Median hospital stay was 2.7 days (range 2–13 days). Completed questionnaires were obtained from 37 (92.5%) of 40 patients. After 1 year, more than 90% of patients were satisfied with their symptomatic outcome and regarded their surgery as successful. There was a significant improvement in QOL, measured with QOLRAD at all postoperative time-points (P < 0.001). There was no difference between pre- and postoperative dysphagia scores. Laparoscopic repair of large hiatal hernias with TiMesh yields good symptomatic and clinical outcome. Further studies are needed to show whether the use of this lightweight polypropylene mesh is associated with a reduction in recurrence rates after hiatal hernia repair in the longer term.