Redo laparoscopic antireflux surgery in patients with hiatal hernia

Abstract

The purpose was to study the features and results of redo laparoscopic antireflux surgery. For the period from 2008 to 2019, in Odessa Regional Hospital laparoscopic antireflux operations were performed in 1164 patients. 57 patients underwent laparoscopic reoperation during the study period based on the following indications: recurrence of hiatal hernia (n=37), recurrent reflux (n=4), dysphagia (n=8), severe pain (n=5), esophageal stricture (n=3). All patients underwent repeated examinations in our clinic, telephone interviews, mailing of special questionnaires. All complaints were recorded, the quality of life was determined according to the GERD-HRQL questionnaire. All redo operations were performed laparoscopically without conversion to laparotomy. Intraoperative complications were observed in 11.11% of patients. Long-term follow up from 6 months to 6 years was observed in 90.74% of patients. The quality of life of patients according to the GERD-HRQL questionnaire significantly improved in long-term follow-up (p<0.001). Good results were observed in 91.84% of patients after redo operations. The third operation was needed in 5.6% of patients. Redo laparoscopic antireflux operations are technically difficult surgical interventions and provide good long-term results in 90% of patients.

Целью исследования явилось определение особенностей и результатов повторных лапароскопических антирефлюксных вмешательств. Все повторные вмешательства выполнены лапароскопически без конверсии в лапаротомию. Интраоперационные осложнения наблюдались у 11,11 % больных. Отдаленные результаты в сроке от 6 месяцев до 6 лет прослежены у 90,74 % больных. Качество жизни больных, согласно результатам опросника GERD-HRQL, достоверно улучшилось в отдаленные сроки наблюдения (p<0,001). E 91,84 % пациентов после повторных операций отмечены хорошие результаты. Третья операция потребовалась 5,6 % больным.