Causes of unsatisfactory postoperative outcomes in patients with hiatal hernia

Starkov Yu.G.; Khizrieva N.I.; Zamolodchikov R.D.

doi:https://doi.org/10.17116/hirurgia202506198

THE PURPOSE

Of this review is to analyze the current problems of surgical treatment of patients with hiatal hernias, in particular, the causes of recurrences. The review includes national and foreign publications over the past 25 years devoted to immediate and long-term results of surgical treatment of hiatal hernias. Primary screening revealed 172 manuscripts. Of these, the review included 28 studies devoted to causes of hiatal hernia recurrence after surgery. According to literature data, ones of the most significant and important causes of hiatal hernia recurrence are short esophagus and no standardized methodology for diaphragm repair.

Keywords:

hiatal hernia

recurrent hiatal hernia

short esophagus

Collis esophagogastroplasty

mesh implant

diaphragm repair

Authors:

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0003-4722-3466

Khizrieva N.I.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-7937-8414

Zamolodchikov R.D.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0003-2515-9942

Received:

09.08.2024

Accepted:

15.09.2024

Close metadata

References:

Dallemagne B, Kohnen L, Perretta S, et al. Laparoscopic repair of paraesophageal hernia. Long-term follow-up reveals good clinical outcome despite high radiological recurrence rate. Ann Surg. 2011;253(2):291-296. https://doi.org/10.1097/sla.0b013e3181ff44c0
Oelschlager BK, Pellegrini CA, Hunter JG, et al. Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg. 2011;213(4):461-468. https://doi.org/10.1016/j.jamcollsurg.2011.05.017
Oelschlager BK, Petersen RP, Brunt LM, Soper NJ, et al. Laparoscopic paraesophageal hernia repair: defining long-term clinical and anatomic outcomes. J Gastrointest Surg. 2012;16(3):453-459. https://doi.org/10.1007/s11605-011-1743-z
Stringham JR, Phillips JV, McMurry TL, Lambert DL, et al. Prospective study of giant paraesophageal hernia repair with 1-year follow-up. J Thorac Cardiovasc Surg. 2017;154(2):743-751. https://doi.org/10.1016/j.jtcvs.2017.03.138
Fuchs KH, Babic B, Breithaupt W, Dallemagne B, Fingerhut A, et al. European Association of Endoscopic Surgery (EAES). EAES recommendations for the management of gastroesophageal reflux disease. Surg Endosc. 2014;28(6):1753-1773. https://doi.org/10.1007/s00464-014-3431-z
Kohn GP, Price RR, DeMeester SR, Zehetner J, Muensterer OJ, et al; SAGES Guidelines Committee. Guidelines for the management of hiatal hernia. Surg Endosc. 2013;27(12):4409-4428. https://doi.org/10.1007/s00464-013-3173-3
Memon, Breda RN, LLB, PGCEd, DipPractMan; Yunus, et al. Suture Cruroplasty Versus Prosthetic Hiatal Herniorrhaphy for Large Hiatal Hernia: A Meta-analysis and Systematic Review of Randomized Controlled Trials. Ann Surg. 2016;263(2):258-266. https://doi.org/10.1097/sla.0000000000001267
Ivashkin VT, Maev IV, Trukhmanov AS, Lapina TL, Storonova OA, et al. Recommendations of the Russian Gastroenterological Association in Diagnosis and Treatment of Gastroesophageal Reflux Disease. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2020;30(4):70-97. (In Russ.). https://doi.org/10.22416/1382-4376-2020-30-4-70-97
Lugaresi M, Mattioli B, Daddi N, Di Simone MP, et al. Surgery for Type III-IV hiatal hernia: anatomical recurrence and global results after elective treatment of short oesophagus with open and minimally invasive surgery. Eur J Cardiothorac Surg. 2016;49(4):1137-1143. https://doi.org/10.1093/ejcts/ezv280
Montcusí B, Jaume-Bottcher S, Álvarez I, et al. 5-Year Collis-Nissen Gastroplasty Outcomes for Type III-IV Hiatal Hernia with Short Esophagus: A Prospective Observational Study. J Am Coll Surg. 2023;237(4):596-560. https://doi.org/10.1097/xcs.0000000000000785
Hartwig MG, Najmeh S. Technical Options and Approaches to Lengthen the Shortened Esophagus. Thorac Surg Clin. 2019;29(4):387-394. https://doi.org/10.1016/j.thorsurg.2019.07.004
Sovpel IV, Sedakov IE, Sovpel OV, Shapovalova YuA, Balaban VV. Surgical treatment of hiatal hernia complicated by short esophagus: a prospective study. Pirogov Russian Journal of Surgery. 2023;(5):31-38. (In Russ.). https://doi.org/10.17116/hirurgia202305131
Rathore MA, Andrabi SI, et al. Metaanalysis of recurrence after laparoscopic repair of paraesophageal hernia. JSLS. 2007;11(4):456-460. https://doi.org/10.1111/j.1445-2197.2007.04122_28.x
Migaczewski M, Zub-Pokrowiecka A, et al. Incidence of true short esophagus among patients submitted to laparoscopic Nissen fundoplication. Wideochir Inne Tech Maloinwazyjne. 2015;10(1):10-14. https://doi.org/10.5114/wiitm.2015.48571
Schlottmann F, Laxague F, Angeramo CA, et al. Outcomes of Laparoscopic Redo Fundoplication in Patients With Failed Antireflux Surgery: A Systematic Review and Meta-analysis. Ann Surg. 2021;274(1):78-85. https://doi.org/10.1097/sla.0000000000004639
Stadlhuber RJ, Sherif AE, Mittal SK, Fitzgibbons RJ Jr, et al. Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series. Surg Endosc. 2009;23(6):1219-1226. https://doi.org/10.1007/s00464-008-0205-5
Oor JE, Roks DJ, Koetje JH, et al. Randomized clinical trial comparing laparoscopic hiatal hernia repair using sutures versus sutures reinforced with non-absorbable mesh. Surg Endosc. 2018;32:4579-4589. https://doi.org/10.1007/s00464-018-6211-3
Watson, David I, et al. Laparoscopic Repair of Very Large Hiatus Hernia With Sutures Versus Absorbable Mesh Versus Nonabsorbable Mesh: A Randomized Controlled Trial. Ann Surg. 2015;261(2):282-289. https://doi.org/10.1097/sla.0000000000000842
Pfluke JM, Parker M, Bowers SP, Asbun HJ, Daniel Smith C. Use of mesh for hiatal hernia repair: a survey of SAGES members. Surg Endosc. 2012;26(7):1843-1848. https://doi.org/10.1007/s00464-012-2150-6
Goers TA, Cassera MA, Dunst CM, Swanström LL. Paraesophageal hernia repair with biomesh does not increase postoperative dysphagia. J Gastrointest Surg. 2011;15(10):1743-1749. https://doi.org/10.1007/s11605-011-1596-5
Antoniou SA, Müller-Stich BP, Antoniou GA, et al. Laparoscopic augmentation of the diaphragmatic hiatus with biologic mesh versus suture repair: a systematic review and meta-analysis. Langenbecks Arch Surg. 2015;400(5):577-583. https://doi.org/10.1007/s00423-015-1312-0
Schlottmann F, Strassle PD, Patti MG. Laparoscopic Paraesophageal Hernia Repair: Utilization Rates of Mesh in the USA and Short-Term Outcome Analysis. J Gastrointest Surg. 2017;21(10):1571-1576. https://doi.org/10.1007/s11605-017-3452-8
Sathasivam R, Bussa G, Viswanath Y, Obuobi RB, Gill T, Reddy A, Shanmugam V, Gilliam A, Thambi P. ‘Mesh hiatal hernioplasty’ versus ‘s16uture cruroplasty’ in laparoscopic para-oesophageal hernia surgery; a systematic review and meta-analysis. Asian J Surg. 2019;42(1):53-60. https://doi.org/10.1016/j.asjsur.2018.05.001
Memon M, Memon B, Yunus R, Khan Shahjahan. Suture Cruroplasty Versus Prosthetic Hiatal Herniorrhaphy for Large Hiatal Hernia: A Meta-analysis and Systematic Review of Randomized Controlled Trials. Ann Surg. 2016;263(2):258-266. https://doi.org/10.1097/sla.0000000000001267
Herbella FAM, Patti MG, Del Grande JC. When Did the Esophagus Start Shrinking? The History of the Short Esophagus. Dis Esophagus. 2009;22(7):550-558. https://doi.org/10.1111/j.1442-2050.2009.00956.x
Lugaresi M, Mattioli S, Aramini B, D’Ovidio F, Di Simone MP, Perrone O. The frequency of true short oesophagus in type II—IV hiatal hernia. Eur J Cardiothorac Surg. 2013;43(2):e30-e36. https://doi.org/10.1093/ejcts/ezs602
Mattioli S, Lugaresi M, Ruffato A, Daddi N, Di Simone MP, Perrone O, Brusori S. Collis-Nissen gastroplasty for short oesophagus. Multimed Man Cardiothorac Surg. 2015;2015:mmv032. https://doi.org/10.1093/mmcts/mmv032
Awad ZT, Mittal SK, Roth TA, Anderson PI, Wilfley WA Jr, Filipi CJ. Esophageal shortening during the era of laparoscopic surgery. World J Surg. 2001;25(5):558-561. https://doi.org/10.1007/s002680020075
Petrovskij BV, Kanshin NN, Nikolaev NO. Hirurgija diafragmy. L.: Medicina, 1966. (In Russ.).
Kunio NR, Dolan JP, Hunter JG. Short esophagus. Surg Clin North Am. 2015;95(3):641-652. https://doi.org/10.1016/j.suc.2015.02.015
Chernousov AF, Horobryh TV, Vetshev FP. Hirurgicheskoe lechenie bol’nyh s priobretennym korotkim pishhevodom. Vestnik Nacional’nogo mediko-hirurgicheskogo Centra im. N.I. Pirogova. 2011;1. (In Russ.). https://cyberleninka.ru/article/n/hirurgicheskoe-lechenie-bolnyh-s-priobretennym-korotkim-pischevodom(dateaccessed:21.08.2023)
Akmaz B, Hameleers A, Boerma EG, Vliegen RFA, et al. Hiatal hernia recurrences after laparoscopic surgery: exploring the optimal technique. Surg Endosc. 2023;37(6):4431-4442. https://doi.org/10.1007/s00464-023-09907-w
Furnée EJ, Draaisma WA, Broeders IA, Gooszen HG. Surgical reintervention after failed antireflux surgery: a systematic review of the literature. J Gastrointest Surg. 2009;13(8):1539-1549. https://doi.org/10.1007/s11605-009-0873-z
Van Beek DB, Auyang ED, Soper NJ. A comprehensive review of laparoscopic redo fundoplication. Surg Endosc. 2011;25(3):706-712. https://doi.org/10.1007/s00464-010-1254-0
Angeramo CA, Schlottmann F. Laparoscopic Paraesophageal Hernia Repair: To Mesh or not to Mesh. Systematic Review and Meta-analysis. Ann Surg. 2022;275(1):67-72. https://doi.org/10.1097/sla.0000000000004913
Balagué C, Fdez-Ananín S, Sacoto D, Targarona EM. Paraesophageal Hernia: To Mesh or Not to Mesh? The Controversy Continues. https://doi.org/10.1089/lap.2019.0431
Bechvaya GT, Vasilevsky DI, et al. Principles of surgical treatment of recurrent hiatal hernias (review of literature). The Scientific Notes of the Pavlov University. 2019;26(3):20-24. (In Russ.). https://doi.org/10.24884/1607-4181-2019-26-3-20-24
Rozenfel’d II. Oslozhnenija i recidivy posle alloplastiki bol’shih i gigantskih gryzh pishhevodnogo otverstija diafragmy. Bjulleten’ sibirskoj mediciny. 2019;3. (In Russ.). https://cyberleninka.ru/article/n/oslozhneniya-i-retsidivy-posle-alloplastiki-bolshih-i-gigantskih-gryzh-pischevodnogo-otverstiya-diafragmy(dateaccessed:08.08.2024)