{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T03:50:17Z","timestamp":1787629817288,"version":"build-2736575974"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100006034","name":"University of Southern California","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006034","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Following laparoscopic anti-reflux surgery (LARS), recurrence of hiatal hernia is common. Patients with symptomatic recurrence typically undergo revision of the fundoplication or conversion to magnetic sphincter augmentation (MSA) in addition to cruroplasty. However, patients with an intact fundoplication or MSA may only require repeat cruroplasty to repair their recurrent hiatal hernia. The purpose of this study is to compare outcomes following cruroplasty alone compared to full revision (i.e. redo fundoplication or MSA with cruroplasty) for the management of recurrent hiatal hernias.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A retrospective review of patients undergoing surgical revision of a symptomatic recurrent hiatal hernia between February 2009 and October 2022 was performed. Preoperative characteristics, intraoperative details, and postoperative outcomes were compared between patients undergoing cruroplasty alone versus full revision.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 141 patients were included in the analysis. 93 patients underwent full revision, and 48 patients underwent cruroplasty alone. The mean time between initial and revisional surgery was 8\u2009\u00b1\u20097.7\u00a0years. There was no significant difference in operative time or rates of intra-operative or post-operative complication between groups. Patients undergoing cruroplasty alone had a mean Gastroesophageal Reflux Disease Health Related Quality Life (GERD-HRQL) Questionnaire score of 9.6\u2009\u00b1\u200910.2 compared to a mean score of 8.9\u2009\u00b1\u200911.2 for full revision patients (p\u2009=\u20090.829). Recurrence rates following revision was 10.4% for cruroplasty alone patients and 11.8% in full revision patients (p\u2009&gt;\u20090.999).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In patients with intact fundoplication or MSA, cruroplasty alone results in similar post-operative outcomes compared to full revision for recurrent hiatal hernia.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10029-024-03088-8","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T04:01:46Z","timestamp":1718769706000},"page":"1817-1822","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Cruroplasty as a standalone treatment for recurrent hiatal hernia repair"],"prefix":"10.1007","volume":"28","author":[{"given":"Ashley","family":"Tran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke R.","family":"Putnam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Harvey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Lipham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"3088_CR1","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1053\/j.gastro.2017.07.045","volume":"154","author":"JE Richter","year":"2018","unstructured":"Richter JE, Rubenstein JH (2018) Presentation and epidemiology of gastroesophageal reflux disease. Gastroenterology 154:267\u2013276. https:\/\/doi.org\/10.1053\/j.gastro.2017.07.045","journal-title":"Gastroenterology"},{"key":"3088_CR2","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1111\/j.1365-2036.2004.02149.x","volume":"20","author":"C Gordon","year":"2004","unstructured":"Gordon C, Kang JY, Neild PJ, Maxwell JD (2004) The role of the hiatus hernia in gastro-oesophageal reflux disease. Aliment Pharmacol Ther 20:719\u2013732. https:\/\/doi.org\/10.1111\/j.1365-2036.2004.02149.x","journal-title":"Aliment Pharmacol Ther"},{"key":"3088_CR3","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1007\/s11605-012-2074-4","volume":"17","author":"BE Louie","year":"2013","unstructured":"Louie BE, Kapur S, Blitz M et al (2013) Length and pressure of the reconstructed lower esophageal sphincter is determined by both crural closure and nissen fundoplication. J Gastrointest Surg 17:236\u2013243. https:\/\/doi.org\/10.1007\/s11605-012-2074-4","journal-title":"J Gastrointest Surg"},{"key":"3088_CR4","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1016\/j.thorsurg.2019.07.011","volume":"29","author":"TD Witek","year":"2019","unstructured":"Witek TD, Luketich JD, Pennathur A, Awais O (2019) Management of recurrent paraesophageal hernia. Thorac Surg Clin 29:427\u2013436. https:\/\/doi.org\/10.1016\/j.thorsurg.2019.07.011","journal-title":"Thorac Surg Clin"},{"key":"3088_CR5","first-page":"355","volume":"51","author":"RP Boushey","year":"2008","unstructured":"Boushey RP, Moloo H, Burpee S et al (2008) Laparoscopic repair of paraesophageal hernias: a Canadian experience. Can J Surg 51:355\u2013360","journal-title":"Can J Surg"},{"key":"3088_CR6","doi-asserted-by":"publisher","first-page":"696","DOI":"10.1007\/s11605-018-04073-0","volume":"23","author":"PR Armijo","year":"2019","unstructured":"Armijo PR, Pokala B, Misfeldt M et al (2019) Predictors of hiatal hernia recurrence after laparoscopic anti-reflux surgery with hiatal hernia repair: a prospective database analysis. J Gastrointest Surg 23:696\u2013701. https:\/\/doi.org\/10.1007\/s11605-018-04073-0","journal-title":"J Gastrointest Surg"},{"key":"3088_CR7","doi-asserted-by":"publisher","first-page":"4431","DOI":"10.1007\/s00464-023-09907-w","volume":"37","author":"B Akmaz","year":"2023","unstructured":"Akmaz B, Hameleers A, Boerma EG et al (2023) Hiatal hernia recurrences after laparoscopic surgery: exploring the optimal technique. Surg Endosc 37:4431\u20134442. https:\/\/doi.org\/10.1007\/s00464-023-09907-w","journal-title":"Surg Endosc"},{"key":"3088_CR8","doi-asserted-by":"publisher","first-page":"4409","DOI":"10.1007\/s00464-013-3173-3","volume":"27","author":"GP Kohn","year":"2013","unstructured":"Kohn GP, Price RR, DeMeester SR et al (2013) Guidelines for the management of hiatal hernia. Surg Endosc 27:4409\u20134428. https:\/\/doi.org\/10.1007\/s00464-013-3173-3","journal-title":"Surg Endosc"},{"key":"3088_CR9","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1007\/s00464-010-1254-0","volume":"25","author":"DB van Beek","year":"2011","unstructured":"van Beek DB, Auyang ED, Soper NJ (2011) A comprehensive review of laparoscopic redo fundoplication. Surg Endosc 25:706\u2013712. https:\/\/doi.org\/10.1007\/s00464-010-1254-0","journal-title":"Surg Endosc"},{"key":"3088_CR10","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1007\/s00464-011-1961-1","volume":"26","author":"S Musunuru","year":"2012","unstructured":"Musunuru S, Gould JC (2012) Perioperative outcomes of surgical procedures for symptomatic fundoplication failure: a retrospective case\u2013control study. Surg Endosc 26:838\u2013842. https:\/\/doi.org\/10.1007\/s00464-011-1961-1","journal-title":"Surg Endosc"},{"key":"3088_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/dote\/dow035","volume":"30","author":"A Suppiah","year":"2017","unstructured":"Suppiah A, Sirimanna P, Vivian SJ et al (2017) Temporal patterns of hiatus hernia recurrence and hiatal failure: quality of life and recurrence after revision surgery. Dis Esophagus 30:1\u20138. https:\/\/doi.org\/10.1093\/dote\/dow035","journal-title":"Dis Esophagus"},{"key":"3088_CR12","doi-asserted-by":"publisher","first-page":"4661","DOI":"10.1007\/s00464-020-07897-7","volume":"35","author":"R Nguyen","year":"2021","unstructured":"Nguyen R, Dunn CP, Putnam L et al (2021) Less is more: cruroplasty alone is sufficient for revisional hiatal hernia surgery. Surg Endosc 35:4661\u20134666. https:\/\/doi.org\/10.1007\/s00464-020-07897-7","journal-title":"Surg Endosc"},{"key":"3088_CR13","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1111\/j.1442-2050.2007.00658.x","volume":"20","author":"V Velanovich","year":"2007","unstructured":"Velanovich V (2007) The development of the GERD-HRQL symptom severity instrument. Dis Esophagus 20:130\u2013134. https:\/\/doi.org\/10.1111\/j.1442-2050.2007.00658.x","journal-title":"Dis Esophagus"},{"key":"3088_CR14","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/j.surg.2013.03.015","volume":"154","author":"AO Lidor","year":"2013","unstructured":"Lidor AO, Kawaji Q, Stem M et al (2013) Defining recurrence after paraesophageal hernia repair: correlating symptoms and radiographic findings. Surgery 154:171\u2013178. https:\/\/doi.org\/10.1016\/j.surg.2013.03.015","journal-title":"Surgery"},{"key":"3088_CR15","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1097\/00000658-199910000-00015","volume":"230","author":"JG Hunter","year":"1999","unstructured":"Hunter JG, Smith CD, Branum GD et al (1999) Laparoscopic fundoplication failures: patterns of failure and response to fundoplication revision. Ann Surg 230:595\u2013604. https:\/\/doi.org\/10.1097\/00000658-199910000-00015","journal-title":"Ann Surg"},{"key":"3088_CR16","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-10672-7","author":"P Wisniowski","year":"2024","unstructured":"Wisniowski P, Putnam LR, Gallagher S et al (2024) Short term safety of magnetic sphincter augmentation vs minimally invasive fundoplication: an ACS-NSQIP analysis. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-024-10672-7","journal-title":"Surg Endosc"},{"key":"3088_CR17","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1016\/j.athoracsur.2014.04.074","volume":"98","author":"BE Louie","year":"2014","unstructured":"Louie BE, Farivar AS, Shultz D et al (2014) Short-term outcomes using magnetic sphincter augmentation versus nissen fundoplication for medically resistant gastroesophageal reflux disease. Ann Thorac Surg 98:498\u2013505. https:\/\/doi.org\/10.1016\/j.athoracsur.2014.04.074","journal-title":"Ann Thorac Surg"},{"key":"3088_CR18","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.gie.2018.07.007","volume":"89","author":"R Bell","year":"2019","unstructured":"Bell R, Lipham J, Louie B et al (2019) Laparoscopic magnetic sphincter augmentation versus double-dose proton pump inhibitors for management of moderate-to-severe regurgitation in GERD: a randomized controlled trial. Gastrointest Endosc 89:14-22.e1. https:\/\/doi.org\/10.1016\/j.gie.2018.07.007","journal-title":"Gastrointest Endosc"},{"key":"3088_CR19","doi-asserted-by":"publisher","first-page":"1736","DOI":"10.1016\/j.cgh.2019.08.056","volume":"18","author":"R Bell","year":"2020","unstructured":"Bell R, Lipham J, Louie BE et al (2020) Magnetic sphincter augmentation superior to proton pump inhibitors for regurgitation in a 1-year randomized trial. Clin Gastroenterol Hepatol 18:1736-1743.e2. https:\/\/doi.org\/10.1016\/j.cgh.2019.08.056","journal-title":"Clin Gastroenterol Hepatol"},{"key":"3088_CR20","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.asjsur.2018.05.001","volume":"42","author":"R Sathasivam","year":"2019","unstructured":"Sathasivam R, Bussa G, Viswanath Y et al (2019) \u2018Mesh hiatal hernioplasty\u2019 versus \u2018suture cruroplasty\u2019 in laparoscopic para-oesophageal hernia surgery; a systematic review and meta-analysis. Asian J Surg 42:53\u201360. https:\/\/doi.org\/10.1016\/j.asjsur.2018.05.001","journal-title":"Asian J Surg"},{"key":"3088_CR21","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1016\/j.amjsurg.2015.07.007","volume":"211","author":"V Tam","year":"2016","unstructured":"Tam V, Winger DG, Nason KS (2016) A systematic review and meta-analysis of mesh vs suture cruroplasty in laparoscopic large hiatal hernia repair. Am J Surg 211:226\u2013238. https:\/\/doi.org\/10.1016\/j.amjsurg.2015.07.007","journal-title":"Am J Surg"}],"container-title":["Hernia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-024-03088-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10029-024-03088-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-024-03088-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T13:11:37Z","timestamp":1727961097000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10029-024-03088-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,19]]},"references-count":21,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["3088"],"URL":"https:\/\/doi.org\/10.1007\/s10029-024-03088-8","relation":{},"ISSN":["1248-9204"],"issn-type":[{"value":"1248-9204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,19]]},"assertion":[{"value":"9 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Ashley Tran, Dr. Luke R Putnam, Lucy Harvey, and Dr. John C Lipham declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}