Article
Surgery
Neal S. Panse, Vishnu Prasath, Patrick L. Quinn, Ravi J. Chokshi
Summary: This study compared the cost-effectiveness of robotic-assisted and laparoscopic surgery for paraesophageal hernia repair, and found that laparoscopic surgery is more cost-effective.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Alex Addo, Dylan Carmichael, Kelley Chan, Andrew Broda, Brian Dessify, Gabriel Mekel, Jon D. Gabrielsen, Anthony T. Petrick, David M. Parker
Summary: Laparoscopic revision paraesophageal hernia repair (PEHr) is a safe and effective procedure for relieving foregut symptoms associated with paraesophageal hernias. However, some patients may still require revision surgery. This study demonstrates that laparoscopic revision PEHr is associated with a low rate of morbidity and mortality, and may improve quality-of-life outcomes for patients.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Celsa M. Tonelli, Marshall S. Baker, Fred A. Luchette, Tyler Cohn
Summary: This study evaluates the outcomes of paraesophageal hernia repair in US veterans, the safety of robotic technology, and the risk factors for reoperation for recurrence. It was found that emergent priority and younger age are associated with an increased risk of reoperation. Robotic repairs took longer than laparoscopic repairs but had equivalent 30-day outcomes and rates of reoperation for recurrence.
AMERICAN JOURNAL OF SURGERY
(2023)
Article
Surgery
Thomas Q. Xu, Jesse Maguire, Jon Gould
Summary: Frailty in elderly patients is associated with surgical outcomes and discharge destination in laparoscopic repair of giant paraesophageal hernias. Among 162 patients over 65 years old, 37 were considered frail. Frail patients did not have higher complication rates, but had longer hospital stays and were more likely to be discharged to a destination other than home.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Respiratory System
Himani Bhatt, Benjamin Wei
Summary: This study aimed to review the perioperative outcomes of robotic versus laparoscopic paraesophageal hernia (PEH) repair. The results showed that robotic surgery may have advantages in terms of decreased conversion rate and shorter hospital stay, but it is more expensive compared to laparoscopic repair. Further studies are needed to determine the long-term efficacy and recurrence rates of robotic and laparoscopic PEH repair.
JOURNAL OF THORACIC DISEASE
(2023)
Article
Surgery
Nithya Kanagasegar, Christine E. Alvarado, Joshua L. Lyons, Marco-Jose Rivero, Carolyn Vekstein, Iris Levine, Christopher W. Towe, Stephanie G. Worrell, Jeffrey M. Marks
Summary: Although obesity is a risk factor for adverse outcomes after PEHR, this study aimed to explore other risk factors in obese patients undergoing PEHR to guide appropriate patient selection for the procedure.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
William D. Gerull, Daniel Cho, Saeed Arefanian, Bradley S. Kushner, Michael M. Awad
Summary: The robotic approach to paraesophageal hernia repair shows significant improvements in peri-operative outcomes, reducing the need for redo surgery and esophageal lengthening procedures, avoiding conversions to open, and shortening the length of hospital stay.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Adrian Chi Heng Fung, Ivy Hau Yee Chan, Kenneth Kak Yuen Wong
Summary: This study evaluated the clinical outcomes and learning curve of laparoscopic intra-corporeal inguinal hernia repair in children. The results showed that surgical trainees require 18 procedures to reach the learning curve plateau. The clinical outcomes indicate that laparoscopic intra-corporeal inguinal hernia repair is a safe and feasible technique, even in the hands of trainees.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Nafi'u Haladu, Adegoke Alabi, Miriam Brazzelli, Mari Imamura, Irfan Ahmed, George Ramsay, Neil W. Scott
Summary: Laparoscopic repair is associated with a lower risk of chronic groin pain compared with open repair. There is no evidence of differences in recurrence rates between laparoscopic and open repairs.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Patrick Keller, Crystal F. Totten, Margaret A. Plymale, You Wei Lin, Daniel L. Davenport, John Scott Roth
Summary: This study compared the clinical outcomes of open versus laparoscopic parastomal hernia repair and found that laparoscopic repair was associated with shorter operative duration, decreased length of stay, fewer short-term wound complications, and increased longevity of repair. Additional research is needed to further investigate methods associated with fewer complications and increased durability in parastomal hernia repair.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Theresa N. N. Wang, Bryan W. W. An, Tina X. X. Wang, Robert Tamer, Tarik K. Yuce, Roukaya T. Hassanein, Kelly R. Haisley, Kyle A. Perry, Patrick J. Sweigert
Summary: This study evaluated the impact of active smoking on short-term outcomes following paraesophageal hernia repair (PEHR) and found that active smoking does not significantly affect the rates of death or hernia recurrence. Although smokers have a slightly increased risk of postoperative complications, the minimally invasive PEHR should not be delayed in symptomatic patients.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Cardiac & Cardiovascular Systems
Lye-Yeng Wong, Niharika Parsons, Elizabeth A. David, William Burfeind, Mark F. Berry
Summary: This study evaluated the outcomes of urgent or emergent repair for paraesophageal hernias, and found that older patients undergoing nonelective surgery had higher morbidity and mortality rates.
ANNALS OF THORACIC SURGERY
(2023)
Review
Surgery
Cristian A. Angeramo, Francisco Schlottmann
Summary: This study compared the outcomes of laparoscopic paraesophageal hernia repair with mesh reinforcement or primary suture repair. The results showed that patients undergoing LPEHR had similar early and late recurrence rates regardless of the type of mesh used. However, overall morbidity seemed to be higher in patients repaired with nonabsorbable mesh.
Article
Surgery
Julia R. Amundson, Kristine Kuchta, Hoover Wu, Vanessa N. VanDruff, Stephen P. Haggerty, John Linn, Michael B. Ujiki
Summary: This study reviewed the outcomes and recurrence rates of laparoscopic paraesophageal hernia repair (LPEHR) with mesh reinforced cruroplasty using absorbable mesh. The results showed no significant differences in recurrence rates between different types of absorbable mesh up to 2 years postoperatively, and patient-reported outcomes were equivalent.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Hadley H. Wilson, Sullivan A. Ayuso, Mikayla Rose, Dau Ku, Gregory T. Scarola, Vedra A. Augenstein, Paul D. Colavita, B. Todd Heniford
Summary: With an aging population, the number of octogenarians undergoing paraesophageal hernia repair (PEHR) is increasing. Octogenarians are more likely to undergo non-elective operations and have higher postoperative mortality rates. Elective PEHR procedures have better outcomes, but octogenarians still have higher mortality rates, longer lengths of stay, and higher readmission rates within 30 days compared to non-octogenarians.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)