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When should we use mesh in laparoscopic hiatal hernia repair? A systematic review.
Laxague, Francisco; Sadava, Emmanuel E; Herbella, Fernando; Schlottmann, Francisco.
Afiliação
  • Laxague F; Department of Surgery, Hospital Alemán of Buenos Aires, Buenos Aires, Argentina.
  • Sadava EE; Department of Surgery, Hospital Alemán of Buenos Aires, Buenos Aires, Argentina.
  • Herbella F; Department of Surgery, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil.
  • Schlottmann F; Department of Surgery, Hospital Alemán of Buenos Aires, Buenos Aires, Argentina.
Dis Esophagus ; 34(6)2021 Jun 14.
Article em En | MEDLINE | ID: mdl-33333552
The use of mesh in laparoscopic hiatal hernia repair (LHHR) remains controversial. The aim of this systematic review was to determine the usefulness of mesh in patients with large hiatal hernia (HH), obesity, recurrent HH, and complicated HH. We performed a systematic review of the current literature regarding the outcomes of LHHR with mesh reinforcement. All articles between 2000 and 2020 describing LHHR with primary suturing, mesh reinforcement, or those comparing both techniques were included. Symptom improvement, quality of life (QoL) improvement, and recurrence rates were evaluated in patients with large HH, obesity, recurrent HH, and complicated HH. Reported outcomes of the use of mesh in patients with large HH had wide variability and heterogeneity. Morbidly obese patients with HH should undergo a weight-loss procedure. However, the benefits of HH repair with mesh are unclear in these patients. Mesh reinforcement during redo LHHR may be beneficial in terms of QoL improvement and hernia recurrence. There is scarce evidence supporting the use of mesh in patients undergoing LHHR for complicated HH. Current data are heterogeneous and have failed to find significant differences when comparing primary suturing with mesh reinforcement. Further research is needed to determine in which patients undergoing LHHR mesh placement would be beneficial.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Laparoscopia / Hérnia Hiatal Tipo de estudo: Observational_studies / Systematic_reviews Aspecto: Patient_preference Limite: Humans Idioma: En Revista: Dis Esophagus Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Laparoscopia / Hérnia Hiatal Tipo de estudo: Observational_studies / Systematic_reviews Aspecto: Patient_preference Limite: Humans Idioma: En Revista: Dis Esophagus Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos