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August 17, 2025British journal of surgery

Impact of diaphragmatic relaxing incision on one-year recurrence after paraesophageal hernia repair: a double-blind randomized trial

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Authors

ATAlexandros TsoposidisSahlgrenska University Hospital SKSrdjan KosticSahlgrenska University Hospital LLLars LundellKarolinska Institutet

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Implication

Double-blind randomized trial shows no significant reduction in recurrence rates for paraesophageal hernia, despite intervention techniques suggesting otherwise.

Key Points

At 12 months, recurrence in the intervention group was 54%, compared to 66% in the control group, and no statistically significant difference was observed.
Seventy-six patients were randomly assigned to either standard repair or repair with a relaxing incision, demonstrating balanced outcomes across groups.
This double-blind randomized trial examined effects across dual-centers over four years, seeking to improve recurrence rates after surgical intervention.
Neither the relaxing incision nor standard repair significantly affected postoperative quality of life or symptom relief, leading to ongoing concerns about recurrence.

Cite This Study

Tsoposidis et al. (2025) studied this question.

synapsesocial.com/papers/68a36c270a429f797332feca https://doi.org/10.1093/bjs/znaf149.100

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Implication

Double-blind randomized trial shows no significant reduction in recurrence rates for paraesophageal hernia, despite intervention techniques suggesting otherwise.

Impact of diaphragmatic relaxing incision on one-year recurrence after paraesophageal hernia repair: a double-blind randomized trial

Discussion

Member takes

Implication

Key Points

Cite This Study

Impact of diaphragmatic relaxing incision on one-year recurrence after paraesophageal hernia repair: a double-blind randomized trial

Discussion

Member takes

Implication

Key Points

Cite This Study

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