Suture cruroplasty versus mesh hiatal herniorrhaphy for large hiatal hernias (HHs): an updated meta-analysis and systematic review of randomized controlled trials

Memon, Muhammed A. and Siddaiah-Subramanya, Manjunath and Yunus, Rossita M. and Memon, Breda and Khan, Shahjahan (2019) Suture cruroplasty versus mesh hiatal herniorrhaphy for large hiatal hernias (HHs): an updated meta-analysis and systematic review of randomized controlled trials. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. ISSN 1530-4515

Abstract

Background: To explore the clinical outcomes, safety and effectiveness of suture cruroplasty versus mesh repair for large hiatal hernias (HHs) by an updated meta-analysis.

Material and Methods: Randomized controlled trials evaluating the effects of these 2 treatment modalities were searched from PubMed and other electronic databases between January 1991 and July 2018. The outcome variables analyzed included operating time, complications, recurrence of HH or wrap migration, reoperation, hospital stay and quality of life.

Results: Five randomized controlled trials totaling 478 patients (suture=222, mesh=256) were analyzed. For reoperation variable, the odds ratio was significantly 3.26 times higher for the suture group. For recurrence of HH, the odds ratio for the suture group was nonsignificantly 1.65 times higher compared with the mesh group. Comparable effects were noted for all other variables.

Conclusions: Mesh repair seems to be superior to suture cruroplasty for large HH repair. Therefore, the routine use of mesh may be advantageous in selected cases.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published online: 2019. Permanent restricted access to ArticleFirst version, in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Agricultural, Computational and Environmental Sciences (1 July 2013 - 5 Sept 2019)
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Agricultural, Computational and Environmental Sciences (1 July 2013 - 5 Sept 2019)
Date Deposited: 24 Jun 2019 02:21
Last Modified: 01 Jul 2019 06:02
Uncontrolled Keywords: hiatal, hernia, paraoesophageal, sliding, prosthetic reinforcement, mesh, suture cruroplasty, laparoscopic method, randomized controlled trials, human.
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
11 Medical and Health Sciences > 1103 Clinical Sciences > 110323 Surgery
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1097/SLE.0000000000000655
URI: http://eprints.usq.edu.au/id/eprint/36610

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