Rectus Abdominus Fascial Sheath Usage for Crural Reinforcement During Surgical Management of GERD: Preliminary Report of a Prospective Randomized Clinical Trial
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 08/17/2012
Yigit T et al. – Autograft hiatoplasty seems to be a good alternative for crural reinforcement. It provides safe reinforcement, has the same dysphagia rates as meshless hiatoplasty, and avoids potential complications of redo surgery by minimizing extensive fibrosis. Furthermore, the rectus abdominus sheath is always available and inexpensive.Methods
- Twenty–four patients participated and were randomly divided into 2 groups (graft+laparoscopic Nissen fundoplication and laparoscopic Nissen fundoplication alone) with 12 patients in each group.
- Total operation time, postoperative dysphagia rate, dysphagia improvement time, postoperative pain, recurrence, and incisional hernia rate were compared.
- There was no difference in terms of study parameters between both groups except for the mean operation time.