Abstract
Background
The incidence of laparoscopic hiatal hernia recurrence is less than ideal. The reasons are more theoretical than objective, as the literature has little data in support of specific mechanisms of recurrence.
Method
A recent literature review using all Internet-available, English-language articles on laparoscopic hernia repair was completed.
Results
A multitude of mechanisms of recurrence are suggested, but only surgeon inexperience, postoperative vomiting, heavy lifting, and retention of the hernia sac are supported by data.
Conclusion
The incidence of hiatal hernia recurrence has stabilized. The role of an onlay mesh prosthesis for the prevention of hiatal hernia recurrence is under investigation, and long-term results are awaited.
Similar content being viewed by others
References
Hashemi M, Peters JH, DeMeester TR, Huprich JE, Quek M, Hagen JA, Crookes PF, Theisen J, DeMeester SR, Sillin LF, Bremner CG (2000) Laparoscopic repair of large type III hiatal hernia: objective followup reveals high recurrence rate. J Am Coll Surg 190:553–560
Jobe BA, Aye RW, Deveney CW, Domreis JS, Hill LD (2002) Laparoscopic management of giant type III hiatal hernia and short esophagus. Objective follow-up at three years. J Gastrointest Surg 6:181–188
Diaz S, Brunt LM, Klingensmith ME, Frisella PM, Soper NJ (2003) Laparoscopic paraesophageal hernia repair, a challenging operation: medium-term outcome of 116 patients. J Gastrointest Surg 7:59–66
Kakarlapudi GV, Awad ZT, Haynatzki G, Sampson T, Stroup G, Filipi CJ (2002) The effect of diaphragmatic stressors on recurrent hiatal hernia. Hernia 6:163–166
Mittal SK, Filipi CJ, Anderson PI, Fenton SJ, Cummings JE, Cornet D, Quinn TH, Fitzgibbons RJ (1999) Additional mechanisms of hiatal hernia recurrence and prevention. Hernia 3:215–220
Champion JK, Rock D (2003) Laparoscopic mesh cruroplasty for large paraesophageal hernias. Surg Endosc 17:551–553
Frantzides CT, Madan AK, Carlson MA, Stavropoulos GP (2002) A prospective, randomized trial of laparoscopic polytetrafluoroethylene (PTFE) patch repair vs simple cruroplasty for large hiatal hernia. Arch Surg 137:649–652
Orringer MB, Skinner DB, Belsey RH (1972) Long-term results of the Mark IV operation for hiatal hernia and analyses of recurrences and their treatment. J Thorac Cardiovasc Surg 63:25–33
Caniano DA, Ginn-Pease ME, King DR (1990) The failed antireflux procedure: analysis of risk factors and morbidity. J Pediatr Surg 25:1022–1025
Edye MB, Canin-Endres J, Gattorno F, Salky BA (1998) Durability of laparoscopic repair of paraesophageal hernia. Ann Surg 228:528–535
Watson DI, Davies N, Devitt PG, Jamieson GG (1999) Importance of dissection of the hernial sac in laparoscopic surgery for large hiatal hernias. Arch Surg 134:1069–1073
Leeder PC, Smith G, Dehn TC (2003) Laparoscopic management of large paraesophageal hiatal hernia. Surg Endosc 17:1372–1375
Jorgensen LN, Kallehave F, Christensen E, Siana JE, Gottrup F (1998) Less collagen production in smokers. Surgery 123:450–455
Makela JT, Kiviniemi H, Juvonen T, Laitinen S (1995) Factors influencing wound dehiscence after midline laparotomy. Am J Surg 170:387–390
Rosch R, Junge K, Knops M, Lynen P, Klinge U, Schumpelick V (2003) Analysis of collagen-interacting proteins in patients with incisional hernias. Langenbecks Arch Surg 387:427–432
Nicholson DA, Nohl-Oser HC (1976) Hiatus hernia: a comparison between two methods of fundoplication by evaluation of the long-term results. J Thorac Cardiovasc Surg 72:938–943
Mokka RE, Punto L, Kairaluoma MI, Laitinen S, Larmi TK (1977) Surgical treatment of axial hiatal hernia-reflux complex by Nissen fundoplication. A cineradiologic and manometric study. Acta Chir Scand 143:265–269
Gardner RJ, Bonnabeau RC Jr, Warden HE (1977) Surgical repair of gastroesophageal reflux with sliding hiatal hernia. Am J Surg 133:554–556
Gatzinsky P, Sandberg N, Sihlbom H (1979) Gastro-oesophageal reflux after surgical treatment of hiatal hernia with and without severe reflux complications. A follow-up study. Acta Chir Scand 145:45–53
Refsum S Jr, Nygaard K (1979) Repair of hiatus hernia by an abdominal semi-fundoplication technique. Acta Chir Scand 145:39–44
Singh SV (1980) Surgery for oesophageal reflux and hiatus hernia. Long-term results in 250 patients. Scand J Thorac Cardiovasc Surg 14:311–315
Pearson FG, Cooper JD, Ilves R, Todd TR, Jamieson WR (1983) Massive hiatal hernia with incarceration: a report of 53 cases. Ann Thorac Surg 35:45–51
Ellis FH Jr, Crozier RE, Shea JA (1986) Paraesophageal hiatus hernia. Arch Surg 121:416–420
Williamson WA, Ellis FH Jr, Streitz JM Jr, Shahian DM (1993) Paraesophageal hiatal hernia: is an antireflux procedure necessary? Ann Thorac Surg. 56:447–451
Weissberg D, Refaely Y (1995) Symptomatic diaphragmatic hernia: surgical treatment. Scand J Thorac Cardiovasc Surg 29:201–206
Schauer PR, Ikramuddin S, McLaughlin RH, Graham TO, Slivka A, Lee KK, Schraut WH, Luketich JD (1998) Comparison of laparoscopic versus open repair of paraesophageal hernia. Am J Surg 176:659–665
Rogers ML, Duffy JP, Beggs FD, Salama FD, Knowles KR, Morgan WE (2001) Surgical treatment of para-oesophageal hiatal hernia. Ann R Coll Surg Engl 83:394–398
Perdikis G, Hinder RA, Filipi CJ, Walenz T, McBride PJ, Smith SL, Katada N, Klingler PJ (1997) Laparoscopic paraesophageal hernia repair. Arch Surg 132:586–589
Huntington TR (1997) Short-term outcome of laparoscopic paraesophageal hernia repair. A case series of 58 consecutive patients. Surg Endosc 11:894–898
Gantert WA, Patti MG, Arcerito M, Feo C, Stewart L, DePinto M, Bhoyrul S, Rangel S, Tyrrell D, Fujino Y, Mulvihill SJ, Way LW (1998) Laparoscopic repair of paraesophageal hiatal hernias. J Am Coll Surg 186:428–432
Hawasli A, Zonca S (1998) Laparoscopic repair of paraesophageal hiatal hernia. Am Surg 64:703–710
Horgan S, Eubanks TR, Jacobsen G, Omelanczuk P, Pellegrini CA (1999) Repair of paraesophageal hernias. Am J Surg 177:354–358
Wiechmann RJ, Ferguson MK, Naunheim KS, McKesey P, Hazelrigg SJ, Santucci TS, Macherey RS, Landreneau RJ (2001) Laparoscopic management of giant paraesophageal herniation. Ann Thorac Surg 71:1080–1086
Swanstrom LL, Jobe BA, Kinzie LR, Horvath KD (1999) Esophageal motility and outcomes following laparoscopic paraesophageal hernia repair and fundoplication. Am J Surg 177:359–363
Carlson MA, Richards CG, Frantzides CT (1999) Laparoscopic prosthetic reinforcement of hiatal herniorrhaphy. Dig Surg 16:407–410
Pierre AF, Luketich JD, Fernando HC, Christie NA, Buenaventura PO, Litle VR, Schauer PR (2002) Results of laparoscopic repair of giant paraesophageal hernias: 200 consecutive patients. Ann Thorac Surg 74:1909–1915
Balsara KP, Shah CR, Bhandari M (2002) Laparoscopic surgery for reflux esophagitis and paraesophageal hernia. Indian J Gastroenterol 21:102–104
Khaitan L, Houston H, Sharp K, Holzman M, Richards W (2002) Laparoscopic paraesophageal hernia repair has an acceptable recurrence rate. Am Surg 68:546–551
Dahlberg PS, Deschamps C, Miller DL, Allen MS, Nichols FC, Pairolero PC (2001) Laparoscopic repair of large paraesophageal hiatal hernia. Ann Thorac Surg 72:1125–1129
Velanovich V, Karmy-Jones R (2001) Surgical management of paraesophageal hernias: outcome and quality of life analysis. Dig Surg 18:432–437
Mattar SG, Bowers SP, Galloway KD, Hunter JG, Smith CD (2002) Long-term outcome of laparoscopic repair of paraesophageal hernia. Surg Endosc 16:745–749
Keidar A, Szold A (2003) Laparoscopic repair of paraesophageal hernia with selective use of mesh. Surg Laparosc Endosc Percutan Tech 13:149–154
Carlson MA, Condon RE, Ludwig KA, Schulte WJ (1998) Management of intrathoracic stomach with polypropylene mesh prosthesis reinforced transabdominal hiatus hernia repair. J Am Coll Surg 187:227–230
Hui TT, Thoman DS, Spyrou M, Phillips EH, David T (2001) Mesh crural repair of large paraesophageal hiatal hernias. Am Surg 67:1170–1174
Livingston CD, Jones HL Jr, Askew RE Jr, Victor BE, Askew RE Sr (2001) Laparoscopic hiatal hernia repair in patients with poor esophageal motility or paraesophageal herniation. Am Surg 67:987–991
Casaccia M, Torelli P, Panaro F, Cavaliere D, Ventura A, Valente U (2002) Laparoscopic physiological hiatoplasty for hiatal hernia: new composite “A”-shaped mesh. Physical and geometrical analysis and preliminary clinical results. Surg Endosc 16:1441–1445
Granderath FA, Kamolz T, Schweiger UM, Pointner R (2003) Laparoscopic refundoplication with prosthetic hiatal closure for recurrent hiatal hernia after primary failed antireflux surgery. Arch Surg 138:902–907
Author information
Authors and Affiliations
Corresponding author
Additional information
Presented at the Seventh Annual Scientific Meeting of the American Hernia Society, Orlando, Fla. USA February 24–28, 2004.
Rights and permissions
About this article
Cite this article
Puri, V., Kakarlapudi, G.V., Awad, Z.T. et al. Hiatal hernia recurrence: 2004. Hernia 8, 311–317 (2004). https://doi.org/10.1007/s10029-004-0255-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-004-0255-0