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Mesh in laparoscopic large hiatal hernia repair: a systematic review of the literature

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Abstract

Background

The use of mesh is becoming more popular for large hiatal hernia (type II–IV) repair to reduce the recurrence rate. The aim of this study was to outline the currently available literature on the use of mesh in laparoscopic large hiatal hernia repair, emphasizing objective outcome.

Methods

A structured search of the literature was performed in the Medline, Embase, and Cochrane Central Register of Controlled Trials databases.

Results

A total of 26 studies met the inclusion criteria. There were three randomized controlled trials, seven prospective and five retrospective cohort studies, and five prospective and one retrospective case–control study. The study design was not reported in the remaining studies. In the included studies, laparoscopic hiatal hernia repair was performed with mesh in 924 patients (mesh group) and without mesh in 340 patients (nonmesh group). The type of mesh used was very different: polypropylene in six, biomesh in nine, polytetrafluoroethylene (PTFE) in two, expanded PTFE (ePTFE) in two, and composite polypropylene–PTFE in another two. At least two different kinds of mesh were used in five studies. Radiological and/or endoscopic follow-up was performed after a mean (±SEM) period of 25.2 ± 4.0 months. There was no or only a small recurrence (recurrent hiatal hernia <2 cm) in 385 of the 451 available patients (85.4 %) in the mesh group and in 182 of 247 (73.7 %) in the nonmesh group.

Conclusions

The use of mesh in the repair of large hiatal hernias is promising with respect to the reduction of anatomical recurrences. However, many different kinds and configurations of mesh are available. This systematic review of the literature is a basis for high-quality randomized controlled trials to obtain the most effective and safe mesh in the long term.

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References

  1. Abbara S, Kalan MM, Lewicki AM (2003) Intrathoracic stomach revisited. AJR Am J Roentgenol 181:403–414

    Article  PubMed  Google Scholar 

  2. Stylopoulos N, Gazelle GS, Rattner DW (2002) Paraesophageal hernias: operation or observation? Ann Surg 236:492–501

    Article  PubMed  Google Scholar 

  3. van der Peet DL, Klinkenberg-Knol EC, Alonso Poza A, Sietses C, Eijsbouts QA, Cuesta MA (2000) Laparoscopic treatment of large paraesophageal hernias: both excision of the sac and gastropexy are imperative for adequate surgical treatment. Surg Endosc 14:1015–1018

    Article  PubMed  Google Scholar 

  4. 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

    Article  PubMed  CAS  Google Scholar 

  5. Furnée EJ, Draaisma WA, Gooszen HG, Hazebroek EJ, Smout AJ, Broeders IA (2011) Tailored or routine addition of an antireflux fundoplication in laparoscopic large hiatal hernia repair: a comparative cohort study. World J Surg 35:78–84

    Article  PubMed  Google Scholar 

  6. Furnée EJ, Draaisma WA, Simmermacher RK, Stapper G, Broeders IA (2010) Long-term symptomatic outcome and radiologic assessment of laparoscopic hiatal hernia repair. Am J Surg 199:695–701

    Article  PubMed  Google Scholar 

  7. Rathore MA, Andrabi SI, Bhatti MI, Najfi SM, McMurray A (2007) Metaanalysis of recurrence after laparoscopic repair of paraesophageal hernia. JSLS 11:456–460

    PubMed  Google Scholar 

  8. Hawasli A, Zonca S (1998) Laparoscopic repair of paraesophageal hiatal hernia. Am Surg 64:703–710

    PubMed  CAS  Google Scholar 

  9. Carlson MA, Richards CG, Frantzides CT (1999) Laparoscopic prosthetic reinforcement of hiatal herniorrhaphy. Dig Surg 16:407–410

    Article  PubMed  CAS  Google Scholar 

  10. Stadlhuber RJ, Sherif AE, Mittal SK, Fitzgibbons RJ Jr, Michael Brunt L, Hunter JG, Demeester TR, Swanstrom LL, Daniel Smith C, Filipi CJ (2009) Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series. Surg Endosc 23:1219–1226

    Article  PubMed  Google Scholar 

  11. Granderath FA, Carlson MA, Champion JK, Szold A, Basso N, Pointner R, Frantzides CT (2006) Prosthetic closure of the esophageal hiatus in large hiatal hernia repair and laparoscopic antireflux surgery. Surg Endosc 20:367–379

    Article  PubMed  CAS  Google Scholar 

  12. Targarona EM, Bendahan G, Balague C, Garriga J, Trias M (2004) Mesh in the hiatus: a controversial issue. Arch Surg 139:1286–1296

    Article  PubMed  Google Scholar 

  13. Johnson JM, Carbonell AM, Carmody BJ, Jamal MK, Maher JW, Kellum JM, DeMaria EJ (2006) Laparoscopic mesh hiatoplasty for paraesophageal hernias and fundoplications: a critical analysis of the available literature. Surg Endosc 20:362–366

    Article  PubMed  CAS  Google Scholar 

  14. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151:264–269

    Article  PubMed  Google Scholar 

  15. Gans SL, van Westreenen HL, Kiewiet JJ, Rauws EA, Gouma DJ, Boermeester MA (2012) Systematic review and meta-analysis of somatostatin analogues for the treatment of pancreatic fistula. Br J Surg 99:754–760

    Article  PubMed  CAS  Google Scholar 

  16. Stang A (2010) Critical evaluation of the Newcastle–Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 25:603–605

    Article  PubMed  Google Scholar 

  17. Centre for Evidence-Based Medicine (2008) Available at http://www.cebm.net/index.aspx?o=1025. Accessed 22 Oct 2012

  18. Oelschlager BK, Barreca M, Chang L, Pellegrini CA (2003) The use of small intestine submucosa in the repair of paraesophageal hernias: initial observations of a new technique. Am J Surg 186:4–8

    Article  PubMed  Google Scholar 

  19. Oelschlager BK, Pellegrini CA, Hunter J, Soper N, Brunt M, Sheppard B, Jobe B, Polissar N, Mitsumori L, Nelson J, Swanstrom L (2006) Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial. Ann Surg 244:481–490

    PubMed  Google Scholar 

  20. Oelschlager BK, Pellegrini CA, Hunter JG, Brunt ML, Soper NJ, Sheppard BC, Polissar NL, Neradilek MB, Mitsumori LM, Rohrmann CA, Swanstrom LL (2011) Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg 213:461–468

    Article  PubMed  Google Scholar 

  21. Oelschlager BK, Petersen RP, Brunt LM, Soper NJ, Sheppard BC, Mitsumori L, Rohrmann C, Swanstrom LL, Pellegrini CA (2012) Laparoscopic paraesophageal hernia repair: defining long-term clinical and anatomic outcomes. J Gastrointest Surg 16:453–459

    Article  PubMed  Google Scholar 

  22. Frantzides CT, Richards CG, Carlson MA (1999) Laparoscopic repair of large hiatal hernia with polytetrafluoroethylene. Surg Endosc 13:906–908

    Article  PubMed  CAS  Google Scholar 

  23. 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

    Article  PubMed  Google Scholar 

  24. Casaccia M, Torelli P, Panaro F, Cavaliere D, Saltalamacchia L, Troilo BM, Savelli A, Valente U (2005) Laparoscopic tension-free repair of large paraesophageal hiatal hernias with a composite A-shaped mesh: two-year follow-up. J Laparoendosc Adv Surg Tech A 15:279–284

    Article  PubMed  Google Scholar 

  25. Goers TA, Cassera MA, Dunst CM, Swanström LL (2011) Paraesophageal hernia repair with biomesh does not increase postoperative dysphagia. J Gastrointest Surg 15:1743–1749

    Article  PubMed  Google Scholar 

  26. Stavropoulos G, Flessas II, Mariolis-Sapsakos T, Zagouri F, Theodoropoulos G, Toutouzas K, Michalopoulos NV, Triantafyllopoulou I, Tsamis D, Spyropoulos BG, Zografos GC (2012) Laparoscopic repair of giant paraesophageal hernia with synthetic mesh: 45 consecutive cases. Am Surg 78:432–435

    PubMed  Google Scholar 

  27. Lee YK, James E, Bochkarev V, Vitamvas M, Oleynikov D (2008) Long-term outcome of cruroplasty reinforcement with human acellular dermal matrix in large paraesophageal hiatal hernia. J Gastrointest Surg 12:811–815

    Article  PubMed  Google Scholar 

  28. Leeder PC, Smith G, Dehn TC (2003) Laparoscopic management of large paraesophageal hiatal hernia. Surg Endosc 17:1372–1375

    Article  PubMed  CAS  Google Scholar 

  29. Morino M, Giaccone C, Pellegrino L, Rebecchi F (2006) Laparoscopic management of giant hiatal hernia: factors influencing long-term outcome. Surg Endosc 20:1011–1016

    Article  PubMed  CAS  Google Scholar 

  30. Hazebroek EJ, Ng A, Yong DH, Berry H, Leibman S, Smith GS (2008) Clinical evaluation of laparoscopic repair of large hiatal hernias with TiMesh. ANZ J Surg 78:914–917

    Article  PubMed  Google Scholar 

  31. Hazebroek EJ, Ng A, Yong DH, Berry H, Leibman S, Smith GS (2008) Evaluation of lightweight titanium-coated polypropylene mesh (TiMesh) for laparoscopic repair of large hiatal hernias. Surg Endosc 22:2428–2432

    Article  PubMed  Google Scholar 

  32. Hazebroek EJ, Koak Y, Berry H, Leibman S, Smith GS (2009) Critical evaluation of a novel DualMesh repair for large hiatal hernias. Surg Endosc 23:193–196

    Article  PubMed  CAS  Google Scholar 

  33. Wisbach G, Peterson T, Thoman D (2006) Early results of the use of acellular dermal allograft in type III paraesophageal hernia repair. JSLS 10:184–187

    PubMed  Google Scholar 

  34. Lubezky N, Sagie B, Keidar A, Szold A (2007) Prosthetic mesh repair of large and recurrent diaphragmatic hernias. Surg Endosc 21:737–741

    Article  PubMed  Google Scholar 

  35. Chilintseva N, Brigand C, Meyer C, Rohr S (2012) Laparoscopic prosthetic hiatal reinforcement for large hiatal hernia repair. J Visc Surg 149:e215–e220

    Article  PubMed  CAS  Google Scholar 

  36. Lee E, Frisella MM, Matthews BD, Brunt LM (2007) Evaluation of acellular human dermis reinforcement of the crural closure in patients with difficult hiatal hernias. Surg Endosc 21:641–645

    Article  PubMed  CAS  Google Scholar 

  37. Wassenaar EB, Mier F, Sinan H, Petersen RP, Martin AV, Pellegrini CA, Oelschlager BK (2012) The safety of biologic mesh for laparoscopic repair of large, complicated hiatal hernia. Surg Endosc 26:1390–1396

    Article  PubMed  Google Scholar 

  38. Horstmann R, Klotz A, Classen C, Palmes D (2004) Feasibility of surgical technique and evaluation of postoperative quality of life after laparoscopic treatment of intrathoracic stomach. Langenbecks Arch Surg 389:23–31

    Article  PubMed  CAS  Google Scholar 

  39. Champion JK, Rock D (2003) Laparoscopic mesh cruroplasty for large paraesophageal hernias. Surg Endosc 17:551

    Article  PubMed  CAS  Google Scholar 

  40. Diaz DF, Roth JS (2011) Laparoscopic paraesophageal hernia repair with acellular dermal matrix cruroplasty. JSLS 15:355–360

    Article  PubMed  Google Scholar 

  41. Strange PS (2003) Small intestinal submucosa for laparoscopic repair of large paraesophageal hiatal hernias: a preliminary report. Surg Technol Int 11:141–143

    PubMed  Google Scholar 

  42. Gouvas N, Tsiaoussis J, Athanasakis E, Zervakis N, Pechlivanides G, Xynos E (2011) Simple suture or prosthesis hiatal closure in laparoscopic repair of paraesophageal hernia: a retrospective cohort study. Dis Esophagus 24:69–78

    Article  PubMed  CAS  Google Scholar 

  43. Braghetto I, Korn O, Csendes A, Burdiles P, Valladares H, Brunet L (2010) Postoperative results after laparoscopic approach for treatment of large hiatal hernias: is mesh always needed? Is the addition of an antireflux procedure necessary? Int Surg 95:80–87

    PubMed  Google Scholar 

  44. Ringley CD, Bochkarev V, Ahmed SI, Vitamvas ML, Oleynikov D (2006) Laparoscopic hiatal hernia repair with human acellular dermal matrix patch: our initial experience. Am J Surg 192:767–772

    Article  PubMed  Google Scholar 

  45. Zaninotto G, Portale G, Costantini M, Fiamingo P, Rampado S, Guirroli E, Nicoletti L, Ancona E (2007) Objective follow-up after laparoscopic repair of large type III hiatal hernia. Assessment of safety and durability. World J Surg 31:2177–2183

    Article  PubMed  Google Scholar 

  46. 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

    Article  PubMed  Google Scholar 

  47. Mehta S, Boddy A, Rhodes M (2006) Review of outcome after laparoscopic paraesophageal hiatal hernia repair. Surg Laparosc Endosc Percutan Tech 16:301–306

    Article  PubMed  Google Scholar 

  48. Kehdy F (2011) Current management of paraesophageal hernia. Am Surg 77:1565–1573

    PubMed  Google Scholar 

  49. Huntington TR (1997) Laparoscopic mesh repair of the esophageal hiatus. J Am Coll Surg 184:399–400

    PubMed  CAS  Google Scholar 

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Disclosures

Drs. Furnée and Hazebroek have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgery, Diakonessenhuis, Utrecht, The Netherlands

    Edgar Furnée

  2. Department of Surgery, St. Antonius Hospital, P.O. Box 2500, 3430 EM, Nieuwegein, The Netherlands

    Eric Hazebroek

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  1. Edgar Furnée
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  2. Eric Hazebroek
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Correspondence to Edgar Furnée.

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Furnée, E., Hazebroek, E. Mesh in laparoscopic large hiatal hernia repair: a systematic review of the literature. Surg Endosc 27, 3998–4008 (2013). https://doi.org/10.1007/s00464-013-3036-y

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