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April 1982

Recurrent Hiatal Hernia Repair: A Potential Surgical Dilemma

Author Affiliations

From the Departments of Surgery, Veterans Administration Medical Center, and University of California, San Diego.

Arch Surg. 1982;117(4):413-414. doi:10.1001/archsurg.1982.01380280017004

† We studied 96 patients who underwent hiatal hernia repair; 17 of these patients had secondary repair. No mortality existed for elective first-time repairs, whereas there was a 17.6% mortality and a 46% morbidity in secondary repairs. No clear differences were noted with the type of repair used. Thirty-five percent of those having a recurrent hiatal hernia repair later had another recurrence. Reoperation for recurrent reflux esophagitis is more of a risk than is often thought. This information should be heavily weighed during preoperative decision making.

(Arch Surg 1982;117:413-414)

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