Abstract
Abstract Aim Recurrence of hiatal hernia may occur in up to 70% of patients. Failure is defined subjectively as recurrence of symptoms and objectively by imaging or pH studies, which can diagnose recurrent hiatal hernia, wrap disruption, and/or reflux disease. Approximately 25% of patients need partial or subtotal esophagectomy - mainly secondarily to scar formation and fibrosis at the hiatus site. Our aim is to report the early results of a novel double tract reconstruction in treating failed re-do fundoplication Materials and methods Retrospective review of prospectively collected data on patients who had undergone salvage operation of failed re-do fundoplication related to demographics, operative details, surgical and clinical outcomes as well as patient satisfaction. Results Conclusion Double tract reconstruction appears a suitable option in treating symptomatic recurrently failed hiatal hernia repair especially after the second or third recurrence with disruption of the anatomy and scarring of gastroesophageal junction.
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