Introduction: Laparoscopic paraesophageal hernia repair is an effective treatment for symptomatic paraesophageal hernias. To reduce recurrence rates, the use of prosthetics for the crural repair has been suggested. Mesh-related complications are rare but known to be disastrous. To address another form of crural repair, polypropylene strips are suggested. This study aimed to assess peri- and postoperative complications of reinforcement of cruroplasty with polypropylene strips. Methods: From 2013 to 2020, patients with a primary or recurrent type 2, 3, or 4 paraesophageal hernia that underwent cruroplasty with polypropylene strips were retrospectively reviewed. Intra- and postoperative complications were graded according to the Clavien-Dindo classification. The incidence of symptomatic recurrent hiatal hernia (CT or endoscopy proven) and hospital stay were assessed. Results: One hundred fifty-eight patients were included. Mean age was 65 years (standard deviation 10.4), and 119 patients were female (75.3%). Almost 50% of surgeries took place between 2018 and 2020. Median follow-up was 7 months (interquartile range 17.5). Mean operation time in the primary hernia group was 159 min (standard deviation 39.0), and length of stay was 4.4 days. In 3/158 patients (2.0%), intraoperative complications occurred. Two patients developed a grade 4 and seven patients a grade 3 postoperative complication. No mortality was recorded. Twelve recurrences (8.2%) were detected in the primary hernia group and one (9.1%) in the recurrent hernia group. Conclusion: There were no mesh-related complications seen and symptomatic recurrence rate was low, but longer follow-up is needed.
Dig Surg

中文翻译：

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在腹腔镜食管旁疝修补术中使用聚丙烯条加固颈椎成形术：一项回顾性队列研究

简介：腹腔镜食管旁疝修补术是治疗症状性食管旁疝的有效方法。为了降低复发率，有人建议使用假肢进行小腿修复。与网格相关的并发症很少见，但已知是灾难性的。为了解决另一种形式的脚踝修复，建议使用聚丙烯条。本研究旨在评估用聚丙烯条加固臀部成形术的围手术期和术后并发症。方法：回顾性分析了 2013 年至 2020 年接受聚丙烯条成形术的原发性或复发性 2、3 或 4 型食管旁疝患者。根据 Clavien-Dindo 分类对术中和术后并发症进行分级。评估有症状的复发性食管裂孔疝（CT 或内窥镜检查证实）的发生率和住院时间。结果：包括 158 名患者。平均年龄为 65 岁（标准差 10.4），119 名患者为女性（75.3%）。近 50% 的手术发生在 2018 年至 2020 年之间。中位随访时间为 7 个月（四分位距 17.5）。原发性疝气组的平均手术时间为 159 分钟（标准差 39.0），住院时间为 4.4 天。3/158 名患者 (2.0%) 发生了术中并发症。2 名患者出现 4 级术后并发症，7 名患者出现 3 级术后并发症。没有记录死亡率。在原发性疝气组中检测到 12 次复发 (8.2%)，在复发性疝气组中检测到 1 次复发 (9.1%)。结论：未见补片相关并发症，症状复发率低，但需长期随访。
挖掘外科