aparoscopic mesh-augmented hiatoplasty without verus with fundoplication as a method to treat hiatal hernias with paraesophageal involvement
Not Applicable
- Conditions
- K44Diaphragmatic hernia
- Registration Number
- DRKS00004492
- Lead Sponsor
- Abteilung für Allgemein-, Viszeral-, und UnfallchirurgieUniversitätsklinikum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 40
Inclusion Criteria
age over 18 years, symptomatic hiatal hernia with paraesophageal involvement, patient agreement
Exclusion Criteria
hiatal hernia type 0-I; surgery in case of recurrence, achalasia, Zollinger-Ellison-Syndrome, malignant tumour, ASA IV-V(American Society of Anesthesiologists), incompetence linguistical or mental to answer the questionaire
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Recurrence rate of hiatal hernie: gastroscopy before and 12 month after surgery or if the patient has disorders.<br>Recurrence rate of reflux: gastroscopy before and 12 month after surgery and 24-hours-acidimetry before and 3 months after surgery.
- Secondary Outcome Measures
Name Time Method With 2 questionnaires we tried to find out about disorders and quality of life. We used for disorders the Gastrointestinal Symptom Rating Scale (GSRS) and for quality of life the Gastrointestinal Quality of Life Index (GIQLI). These two questionnaires were answered before surgery and 3, 12 and 36 month after surgery. <br>PPI (proton-pump-inhibitor)-Need was asked in GSRS-questionnaire. <br>Process while surgery and after surgery. Re-hospitalisation, pain, pressur of esophagus, complications while surgery, morbidity, Reintervention.<br>The patients said in the questionnaire how strong they see their pain before operation, 3, 12 and 36 month after operation.<br>The pressure of esophagus was measured by manometry before and 3 months after surgery.