Laparoscopic repair of hiatal hernia with absorbable biological mesh reinforcement in infants and children / 中国基层医药

ABSTRACT

Objective:To explore the efficacy and experience of laparoscopic repair of hiatus hernia with absorbable biological mesh reinforcement in infants and children.Methods:The clinical data of patients with hiatal hernia undergoing laparoscopic surgery with biological mesh and Nissen fundoplication in the First Hospital of Quanzhou from January 2015 to December 2018 were retrospectively analyzed.All patients had undergone upper gastrointestinal contrast radiography and were diagnosed as hiatal hernia before operation.The clinical types were Ⅰ( n=9), Ⅱ( n=7), Ⅲ( n=1). Results:All patients underwent laparoscopic procedure without switching to laparotomy.The operation time was 100-180min, with an average of 120 min.The mean blood loss was 5-10mL.All patients were fed 1 to 2 days postoperatively and were discharged 5 to 10 days after surgery, with an average of 8 days.All patients were followed up for 6 to 53 months with an average of 30 months.They gained good development and growth.There was no recurrence.One case had dysphagia (esophageal stricture), and improved after esophageal dilation.Conclusion:Laparoscopic hiatal hernia repair with absorbable biological mesh reinforcement has low recurrence rate, fewer complications, and definite curative effect.