REDO LAPAROSCOPIC ANTIREFLUX SURGERY IN PATIENTS WITH HIATAL HERNIA

  • V. V. Grubnik
  • V. V. Grubnik
  • M. R. Paranyak
Keywords: redo laparoscopic antireflux surgery, fundoplication, hiatal hernia.

Abstract

Summary. The purpose was to study the features and results of redo laparoscopic antireflux surgery in our clinic.

Materials and methods. For the period from 2008 to 2019, in our clinic, laparoscopic antireflux operations were performed in 1164 patients. 54 patients underwent laparoscopic reoperation during the study period based on the following indications: recurrence of hiatal hernia (n = 38), recurrent reflux (n = 4), dysphagia (n = 8), severe pain (n = 5). All patients underwent repeated examinations in our clinic, telephone interviews, mailing of special questionnaires. All complaints were recorded, the quality of life was determined according to the GERD-HRQL questionnaire.

Results. All redo operations were performed laparoscopically without conversion to laparotomy. Intraoperative complications were observed in 11.11 % of patients. Long-term follow up from 6 months to 6 years was observed in 90.74 % of patients. The quality of life of patients according to the GERD-HRQL questionnaire significantly improved in long-term follow-up (p <0.001). Good results were observed in 91.84 % of patients after redo operations. The third operation was needed in 5.6 % of patients.

Conclusion. Redo laparoscopic antireflux operations are technically difficult surgical interventions, and should be performed by surgeons with big experience in the antireflux surgery.

Laparoscopic antireflux surgery provide good long-term results in 90 % of patients.

References

1. El-Serag HB, Sweet S, Winchester CC, Dent J. Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review. Gut. 2014 Jun;63(6):871-80. doi: 10.1136/gutjnl-2012-304269.
2. Kohn GP, Price RR, DeMeester SR, Zehetner J, Muensterer OJ, Awad Z, et al. Guidelines for the management of hiatal hernia. Surgical endoscopy. 2013;27(12): 4409-28. https://doi.org/10.1007/s00464-013-3173-3.
3. Kellokumpu I, Voutilainen M, Haglund C, FärkkiläM, Roberts PJ, Kautiainen H. Quality of life following laparoscopic Nissen fundoplication: assessing short-term and long-term outcomes. World journal of gastroenterology.2013;19(24): 3810-18. https://doi.org/10.3748/wjg.v19. i24.3810.
4. Furnée EJ, Draaisma WA, Broeders IA, Gooszen HG. Surgical reintervention after failed antireflux surgery: a systematic review of the literature. Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract.2009;13(8):1539-49. https://doi. org/10.1007/s11605-009-0873-z.
5. Van Beek DB, Auyang ED, Soper NJ. A comprehensive review of laparoscopic redo fundoplication. Surgical endoscopy.2011;25(3):706-12. https://doi.org/10.1007/ s00464-010-1254-0.
6. Avaro JP, D’Journo XB, Trousse D, Ouattara MA, Doddoli C, Giudicelli R, et al. Long-term results of redo gastro-esophageal reflux disease surgery. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.2008;33(6):1091-95. https://doi.org/10.1016/j.ejcts.2008.01.066.
7. Granderath FA, Schweiger UM, Pointner R. Laparoscopic antireflux surgery: tailoring the hiatal closure to the size of hiatal surface area. Surgical endoscopy.2007;21(4):542-548. https://doi.org/10.1007/s00464-006-9041-7.
8. Grubnik VV, Malynovskyy AV. Laparoscopic repair of hiatal hernias: new classification supported by long-term results. Surgical endoscopy.2013;27(11):4337-46. https:// doi.org/10.1007/s00464-013-3069-2.
9. Al Hashmi AW, Pineton de Chambrun G, Souche R, Bertrand M, De Blasi V, Jacques E, et al. A retrospective multicenter analysis on redo-laparoscopic anti-reflux surgery: conservative or conversion fundoplication? Surgical endoscopy,2019;33(1): 243-51. https://doi. org/10.1007/s00464-018-6304-z.
10. Wennergren J, Levy S, Bower C, Miller M, Borman D, Davenport D. Revisional paraesophageal hernia repair outcomes compare favorably to initial operations. Surgical endoscopy.2016;30(9):3854-60. https://doi.org/10.1007/ s00464-015-4688-6.
Published
2020-03-12
How to Cite
Grubnik, V. V., Grubnik, V. V., & Paranyak, M. R. (2020). REDO LAPAROSCOPIC ANTIREFLUX SURGERY IN PATIENTS WITH HIATAL HERNIA. Kharkiv Surgical School, (3), 36-39. https://doi.org/10.37699/2308-7005.3.2020.07
Section
QUESTIONS OF GASTROINTESTINAL TRACT