A Prospective, Randomized Trial of Laparoscopic Polytetrafluoroethylene (PTFE) Patch Repair vs Simple Cruroplasty for Large Hiatal Hernia
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Open Access
- 1 June 2002
- journal article
- clinical trial
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 137 (6), 649-652
- https://doi.org/10.1001/archsurg.137.6.649
Abstract
THE LAPAROSCOPIC technique has revolutionized the approach to hiatal hernia repair and the treatment of gastroesophageal reflux disease. Traditionally, an enlarged hiatus is closed with interrupted large-gauge sutures.1 This method is prone to disruption and reherniation. One investigation of 87 reoperations for gastroesophageal reflux disease demonstrated that 72% of patients experienced failure of their antireflux procedure because of the breakdown of the hiatal hernia repair.2Keywords
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