The importance of the mesh shape in preventing recurrence after Nissen fundoplication

Gastro esophageal reflux disease (GERD) is the most common gastrointestinal disorder and often is associated with hiatal hernia (HH). Nissen fundoplication is the most common surgical treatment method. Despite surgical treatment, recurrence rate is still high. In this study, we aimed to identify the importance of the mesh shape in preventing recurrence after Nissen fundoplication. A hundred twenty two patients who operated Nissen fundoplication owing to GERD and/or HH were evaluated. Nissen fundoplication was made all patients. Patients were divided into three groups according to hiatoplasty procedure; group 1 (V-shaped mesh), group 2 (V-shaped mesh + Fibrin glue), and group 3 (special designed mesh, Kar's mesh). Groups were compared regarding intraoperative, postoperative early-and long-term complications. Mean age was 42.75 years, and male to female ratio was 1: 2.98. The mean follow-up period was 27 mounts. There was no mortality during follow-up. The most common presenting symptom was heartburn (93.4%). There wasn't difference between groups in terms of the intraoperative complications and postoperative early-term complications. The overall recurrences rate was 4.9% and dysphagia > 3 months rate was 1.6%. No recurrence was not observed in group 3, while recurrence was observed in 4 patients in group 1 (P = 0.030). Patients should be carefully selected for surgery because complication rate is high despite successful anti-reflux surgical treatment. In this study, we have used a special designed mesh. We believe that this special designed mesh can be used safely and effectively in anti-reflux surgery because recurrence and complications were not observed.

Dergi Adı INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
Dergi Cilt Bilgisi 8
Dergi Sayısı 6
Sayfalar 9684 - 9691
Yayın Yılı 2015
Eser Adı
[dc.title]
The importance of the mesh shape in preventing recurrence after Nissen fundoplication
Yazar
[dc.contributor.author]
Tanrikulu, Yusuf
Yazar
[dc.contributor.author]
Kar, Fatih
Yazar
[dc.contributor.author]
Yalcin, Boran
Yazar
[dc.contributor.author]
Yilmaz, Gokhan
Yazar
[dc.contributor.author]
Temi, Volkan
Yazar
[dc.contributor.author]
Cagsar, Mithat
Yayın Yılı
[dc.date.issued]
2015
Yayıncı
[dc.publisher]
E-CENTURY PUBLISHING CORP
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Gastro esophageal reflux disease (GERD) is the most common gastrointestinal disorder and often is associated with hiatal hernia (HH). Nissen fundoplication is the most common surgical treatment method. Despite surgical treatment, recurrence rate is still high. In this study, we aimed to identify the importance of the mesh shape in preventing recurrence after Nissen fundoplication. A hundred twenty two patients who operated Nissen fundoplication owing to GERD and/or HH were evaluated. Nissen fundoplication was made all patients. Patients were divided into three groups according to hiatoplasty procedure; group 1 (V-shaped mesh), group 2 (V-shaped mesh + Fibrin glue), and group 3 (special designed mesh, Kar's mesh). Groups were compared regarding intraoperative, postoperative early-and long-term complications. Mean age was 42.75 years, and male to female ratio was 1: 2.98. The mean follow-up period was 27 mounts. There was no mortality during follow-up. The most common presenting symptom was heartburn (93.4%). There wasn't difference between groups in terms of the intraoperative complications and postoperative early-term complications. The overall recurrences rate was 4.9% and dysphagia > 3 months rate was 1.6%. No recurrence was not observed in group 3, while recurrence was observed in 4 patients in group 1 (P = 0.030). Patients should be carefully selected for surgery because complication rate is high despite successful anti-reflux surgical treatment. In this study, we have used a special designed mesh. We believe that this special designed mesh can be used safely and effectively in anti-reflux surgery because recurrence and complications were not observed.
Açıklama
[dc.description]
WOS: 000359295600163
Açıklama
[dc.description]
PubMed: 26309643
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Crural closure
Konu Başlıkları
[dc.subject]
fibrin glue
Konu Başlıkları
[dc.subject]
gastroesophageal reflux disease
Konu Başlıkları
[dc.subject]
Nissen fundoplication
Konu Başlıkları
[dc.subject]
mesh
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1940-5901
İlk Sayfa Sayısı
[dc.identifier.startpage]
9684
Son Sayfa Sayısı
[dc.identifier.endpage]
9691
Dergi Adı
[dc.relation.journal]
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
Dergi Sayısı
[dc.identifier.issue]
6
Dergi Cilt Bilgisi
[dc.identifier.volume]
8
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3613
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
35
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
07 Şubat 2024 03:12
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Tıklayınız
recurrence fundoplication Nissen complications designed common surgical treatment observed patients (V-shaped Patients surgery follow-up special anti-reflux postoperative intraoperative groups because period mounts symptom mortality between difference heartburn during presenting Gastro early-term selected effectively safely believe
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