What question did this study set out to answer?

This study aims to evaluate the effectiveness of adjunctive measures like PEG and mesh in reducing recurrence and reoperation rates after laparoscopic repair of large paraesophageal hernias.

April 7, 2026Journal of Clinical MedicineOpen Access

Effectiveness of Adjunctive Measures to Limit Recurrence and Reoperation After Laparoscopic Repair of Large Paraesophageal Hernias: A Single-Institution Series

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Authors

JKJulia KesselUniversity of North Carolina at Chapel Hill DVDimitrios N. VarvoglisUniversity of North Carolina at Chapel Hill TFTimothy FeeneyUniversity of North Carolina at Chapel Hill

Discussion

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Implication

Single-institution analysis demonstrates PEG placement reduces recurrence rates in patients after laparoscopic PEH repair, suggesting its efficacy.

Key Points

This study aims to evaluate the effectiveness of adjunctive measures like PEG and mesh in reducing recurrence and reoperation rates after laparoscopic repair of large paraesophageal hernias.
Retrospective review of patients undergoing laparoscopic repair between 2006 and 2021.
Analysis of demographic data, hernia size, and surgical techniques including mesh and PEG use.
Statistical comparisons using Fisher’s exact, chi-square, and t-tests along with generalized linear models.
413 patients were analyzed with a median age of 66 years.
19.9% had recurrence after over 5 years of follow-up; significantly lower recurrence in PEG patients (14.8% vs. 23.5%, p = 0.01).
All five reoperations occurred in patients with complete fundoplication.

Cite This Study

Kessel et al. (2026) studied this question.

synapsesocial.com/papers/69d49fc5b33cc4c35a2282bb https://doi.org/10.3390/jcm15072741

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Implication

Single-institution analysis demonstrates PEG placement reduces recurrence rates in patients after laparoscopic PEH repair, suggesting its efficacy.

Effectiveness of Adjunctive Measures to Limit Recurrence and Reoperation After Laparoscopic Repair of Large Paraesophageal Hernias: A Single-Institution Series

Discussion

Member takes

Implication

Key Points

Cite This Study

Effectiveness of Adjunctive Measures to Limit Recurrence and Reoperation After Laparoscopic Repair of Large Paraesophageal Hernias: A Single-Institution Series

Discussion

Member takes

Implication

Key Points

Cite This Study

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