Gastropexy to the posterior sheath of anterior abdominal wall, in paraoesophageal hernia repair is safe and effective
Yehuda Hershkovitz, Shimrit Eliyahu, Noa Cohen, Ortal Yzhaky-Shapira, Amir Ben-YehudaBackground
Paraoesophageal hernia repair has a high recurrence rate, necessitating improved techniques. Gastropexy has emerged as an adjunct to standard repair to address this issue.
Objectives
Assessing the role of anterior gastropexy to posterior sheath of anterior abdominal wall in PEH recurrence.
Design
A retrospective single center, single surgeon analysis of minimally invasive Paraoesophageal hernia repair.
Methods
Overall 85 patients who underwent laparoscopic paraoesophageal hernia repair between 2016 and 2023 were included. Patients were grouped by whether gastropexy was performed, with intracorporeal posterior sheath of anterior abdominal wall gastropexy used. Eighteen months recurrence rates, operative times, and complications were analyzed.
Results
The gastropexy group (n=22) had significantly lower 18 months recurrence rates (4.5% vs. 36.5%, p=0.005) compared to the non-gastropexy group (n=63). No significant differences in early postoperative outcomes or complications were observed.
Conclusions
Adding posterior sheath of anterior abdominal wall gastropexy to paraoesophageal hernia repair seems to reduce recurrence rates without increasing complications or operative time. This may supports its role as a valuable adjunct in routine paraoesophageal hernia repair.