Short-Term and Long-Term Outcomes of Paraesophageal Hernia Repair

Anne-Sophie Laliberte; Brian E Louie

doi:10.1016/j.thorsurg.2019.07.005

Short-Term and Long-Term Outcomes of Paraesophageal Hernia Repair

Thorac Surg Clin. 2019 Nov;29(4):405-414. doi: 10.1016/j.thorsurg.2019.07.005. Epub 2019 Sep 26.

Authors

Anne-Sophie Laliberte¹, Brian E Louie²

Affiliations

¹ Division of Thoracic Surgery, Swedish Medical Center, 1101 Madison Street, Suite 900, Seattle, WA 98104, USA.
² Division of Thoracic Surgery, Swedish Medical Center, Swedish Digestive Health Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USA. Electronic address: Brian.Louie@swedish.org.

PMID: 31564397
DOI: 10.1016/j.thorsurg.2019.07.005

Abstract

The assessment of outcome after paraesophageal repair is difficult and complex. There is a wide range of reported outcomes that are not consistently defined. The focus of this article is on short-term (≤5 years) and long-term (>5 year) outcomes after laparoscopic paraesophageal repair and reviews key patient-reported outcomes (gastroesophageal reflux disease [GERD]-related and non-GERD-related symptoms), radiologic recurrence, additional therapy, and objective measurements. Overall, patients reported an excellent improvement in their quality of life after repair that remains durable. Recurrences are lower when axial and radial tension is addressed. Reoperative surgery is infrequent.

Keywords: Fundoplication; Laparoscopic; Paraesophageal hernia; Short-term and long-term outcomes.

Publication types

Review

MeSH terms

Fundoplication
Gastroesophageal Reflux / surgery*
Hernia, Hiatal / surgery*
Herniorrhaphy*
Humans
Laparoscopy
Patient Reported Outcome Measures
Patient Satisfaction
Quality of Life
Reoperation
Secondary Prevention
Surgical Mesh
Treatment Outcome