USE OF MESH REPAIR IN HIATAL HERNIAS: OUR EXPERIENCE

Abstract

Abstract Aim The use of meshes, their composition and fixation as reinforcement in hiatal hernia (HH) is currently controversial. The aim of this study is to evaluate the safety of the use of mesh in hiatoplasty, as well as to compare the medium-term results between absorbable and non-absorbable prosthesis. Methods Prospective study of a series of cases of patients with hiatal hernia operated on in our center between July 2010 and December 2023. In all cases, reinforcement hiatoplasty with prosthesis. Intra-surgical and post-operative complications were recorded. Clinical and radiological recurrence was evaluated. Results A total of 84 patients were operated on, in 12 cases (14.3%) a APTC mesh was placed, in 38 (45.2%) a cPTFE mesh and 34 (40.5%) a P4HB mesh. The percentage of overall clinical recurrence that we found occurred in 6 patients (7.1%). Radiological recurrence occurred in 9 patients (10.7%), of which 4 (10.5%) were treated with cPTFE mesh and another 4 (11.8%) with P4HB mesh, and 1 (8.3%) with APTC mesh. No statistically significant differences. 2 (16.7%) in the APTC group had some complication, 11 (28.9%) in the cPTFE group and 7 (20.6%) in the P4HB group. Conclusions No cases of serious intra- or posto-perative complications have been reported. The main medium-term complication was dysphagia with no differences between groups. There are no statistically significant differences in clinical or radiological recurrence between patients treated with different prosthetic materials.