Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias

Keywords: hiatal hernia; crurorhaphy; mesh implants

Abstract

Objective. Studying of possibility of application of a self-fixing mesh ProGrip™ while plasty performing for large hiatal hernias (HH).
Маterials and methods. In the investigation 144 patients, ageing 30 – 78 yrs old, owing HH with square 10 - 20 сm2, took part. The patients were divided into two groups. Group I consisted of 71 patients, to whom crurorhaphy with additional strengthening of the sutures, using a self-fixing mesh ProGrip™ was peformed. Group II consisted of 73 patients, in whom sutures of crurorhaphy were not strengthened by the mesh implant. Dynamical follow-up in patients was conducted in 3, 6, 12, 24, 36, 48 and 60 mo after the surgical treatment.
Results. Average duration of the operation in patients of Group i and Group II did not differ essentially – (94 ± 12) and (92 ± 15) min, accordingly (p > 0.1). In late terms of follow-up the HH recurrence have occurred in 3.2% in the Group I patients and in 21.5% - in the Group II patients. The quality of life index in patients of Group I, in accordance to questionnaire SF-36, was trustworthily better, than in patients of Group II (p < 0.05).
Conclusion. The mesh ProGrip™ application while doing plasty of large HH permits to lower the recurrence rate significantly and to improve the operative interventions results essentially.

Author Biographies

V. V. Grubnik, Оdessa National Medical University, Odessa

Victor V. Grubnik - resident of the Department of Surgery No.1 of
Odessa national medical university, Odessa, Dobrovolskogo str. 90/78,
Phone (048) 743-98-29
E-mail: vgrubnyk@yahoo.com,
https://orcid.org/0000-0003-0752-5865

N. R. Paranyak, Odessa national medical university, Odessa

Mykola R. Paranyak - assistant of the Department of Surgery No.1 of
Odessa national medical university,
Lviv, Stryiska str. 18/12, Phone (097) 967-30-95,
E-mail: mykolamd@gmail.com,
https://orcid.org/0000-0001-7229-1757

V. V. Grubnik, Odessa national medical university, Odessa

Vladimir V. Grubnik - MD, professor,
Chair of the Department of Surgery No.1
Odessa national medical university,
Odessa, Dobrovolskogo str. 90/78,
Phone (048) 743-98-29,
E-mail: algrub@te.net.ua,
https://orcid.org/0000-0003-4520-2151

V. V. Ilyashenko, Odessa national medical university, Odessa

Vadim.V. Ilyashenko – PhD, assistant of the Department of Surgery No.1
Odessa national medical university,
Zabolotnogo str. 54/110,
Phone (048)-726-51-23,
E-mail: vadimiliashenko@yahoo.com,
https://orcid.org/0000-0002-4636-5799

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Published
2018-07-26
How to Cite
Grubnik, V. V., Paranyak, N. R., Grubnik, V. V., & Ilyashenko, V. V. (2018). Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias. Klinicheskaia Khirurgiia, 85(7), 5-8. https://doi.org/10.26779/2522-1396.2018.07.05
Section
General Problems of Surgery