Laparoscopic Nissen fundoplication with mesh-hiatoplasty: Single center experience and early-term results

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dc.contributor.authorKafadar, Mehmet Tolga
dc.contributor.authorYalaza, Metin
dc.contributor.authorTurkan, Ahmet
dc.contributor.authorSurgit, Onder
dc.contributor.authorDegirmencioglu, Gurkan
dc.contributor.authorNadir, Isilay
dc.date.accessioned2025-10-24T18:10:34Z
dc.date.available2025-10-24T18:10:34Z
dc.date.issued2016
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractPurpose: In this study we report early-term results of laparoscopic Nissen fundoplication with mesh hiatoplasty that we perform to treat gastroesophageal reflux disease. Methods: We retrospectively reviewed the medical records of 68 patients who underwent laparoscopic Nissen fundoplication with mesh hiatoplasty at our clinic. Thirty-six (53%) patients were male and 32 (47%) were female. The mean age of the study population was 46.1 (25-72) years. All patients underwent endoscopy, esophagus pH metry and manometry before the operation. All operations were performed under general anesthesia using five ports. In addition to Nissen fundoplication, all patients also underwent polypropylene mesh placement. Results: Preoperatively, all patients reported a burning sensation in the chest and regurgitation of the stomach contents up into the mouth. The mean time from symptom onset to operation was 28 (6-84) months. All patients were diagnosed with esophagitis in the preoperative endoscopic examination. The mean operative time was 80 (40-125) minutes, the median duration of hospital stay was 1.2 (1-4) days and the median follow- up time was 12 (2-30) months. Functional outcome was excellent in 65% of patients, good in 24.5%, moderately good in 7% and poor in 3.5%. Conclusion: Fundoplication with mesh hiatoplasty is a surgical procedure performed for the traetment of gastroesophageal reflux disease and hiatal hernia. Surgery can be safely carried out with low morbidity and mortality rates and constitutes an alternative to long-term drug therapy. We believe that this operation is beneficial since it reduces the rate of recurrences to a significant degree.
dc.identifier.endpageS99
dc.identifier.issn0147-958X
dc.identifier.issn1488-2353
dc.identifier.issue6
dc.identifier.scopus2-s2.0-85009958077
dc.identifier.scopusqualityQ2
dc.identifier.startpageS95
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4268
dc.identifier.volume39
dc.identifier.wosWOS:000389725000020
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherCanadian Soc Clinical Investigation
dc.relation.ispartofClinical And Investigative Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectGastroesophageal-Reflux Disease; Antireflux Surgery; Hiatal Closure; Prosthetic Reinforcement; Hernia
dc.titleLaparoscopic Nissen fundoplication with mesh-hiatoplasty: Single center experience and early-term results
dc.typeArticle

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