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World J Gastroenterol. Sep 7, 2013; 19(33): 5528-5533
Published online Sep 7, 2013. doi: 10.3748/wjg.v19.i33.5528
Published online Sep 7, 2013. doi: 10.3748/wjg.v19.i33.5528
Dual-sided composite mesh repair of hiatal hernia: Our experience and a review of the Chinese literature
Wei Zhang, Cheng-Xiang Shan, Sheng Liu, Zhi-Guo Jiang, Dao-Zhen Jiang, Xiang-Min Zheng, Ming Qiu, Department of General Surgery of Changzheng Hospital affiliated to the Second Military Medical University, Shanghai 200003, China
Wei Tang, Department of Surgery, University of Tokyo Hospital, Tokyo 113-8655, Japan
Author contributions: Zhang W and Shan CX contributed equally to this work; Zhang W, Tang W and Qiu M designed the research; Zhang W, Shan CX, Liu S, Jiang ZG and Qiu M performed the research; Jiang DG and Zheng XM performed the statistical analysis; Zhang W and Shan CX wrote the paper.
Correspondence to: Ming Qiu, Professor, Department of General Surgery of Changzheng Hospital affiliated to the Second Military Medical University, No. 415 Fengyang Road, Shanghai 200003, China. qiuming2006@yahoo.cn
Telephone: +86-21-81885801 Fax: +86-21-63520020
Received: February 21, 2013
Revised: June 6, 2013
Accepted: July 4, 2013
Published online: September 7, 2013
Processing time: 193 Days and 16.3 Hours
Revised: June 6, 2013
Accepted: July 4, 2013
Published online: September 7, 2013
Processing time: 193 Days and 16.3 Hours
Core Tip
Core tip: With a focus on the mesh fixation technique, the application of Crurasoft® for antireflux surgery and hiatal hernia repair achieved satisfactory outcome. The recurrence rate was 0% during the 6-mo follow-up period, and long-term follow-up disclosed a recurrence rate of 4.76% with a mean period of 16.28 mo. Eight patients developed new-onset dysphagia and this gradually resolved without difficulty in swallowing solid food in 6 patients. The Chinese literature review identified 12 papers with 213 patients. The overall recurrence rate was 1.88%. There was no esophageal erosion and the rate of dysphagia ranged from 0% to 24%.