Clinical Papers

Hiatal hernia repair at the initial laparoscopic adjustable gastric band operation All Clinical Papers
 

Hiatal hernia repair at the initial laparoscopic adjustable gastric band operation reduces the need for reoperation

 
Intractable reflux, either due to gastric prolapse or concentric pouch dilatation has been the most common indication for reoperation or band removal after laparoscopic adjustable gastric banding (LAGB). We have previously found that a simple hiatal hernia repair (HHR) leads to remission of these symptoms minimizing the need for band removal. We have subsequently added crural repair/HHR at the initial operation, where indicated. In this study compare the rate of reoperation in patients who underwent LAGB alone, or with concurrent HHR.
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