{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:49:03Z","timestamp":1778201343137,"version":"3.51.4"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,2]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Recurrence after laparoscopic hiatus hernia repair (LHR) is high, with few symptomatic patients undergoing redo LHR. Morbidity is higher in redo surgery compared with the primary operation. Tens of studies have explored the safety of redoing LHR. However, the impact of existing mesh on operative risk is rarely examined. We aim to assess the impact of mesh at the hiatus on the safety of redo LHR. This was a cohort study examining redo LHR patients from a prospectively maintained database from January 2002 to December 2023. The primary outcome was intra-\/postoperative complications. Follow-up was extracted from clinical records. Predictors of complications were assessed using univariable and multivariable logistic regression analyses. Redo LHR was performed in 100 patients; 22 had previous mesh. One encountered mortality with 23 complications. Five patients had absorbable mesh, with the remainder nonabsorbable. Overall complications were significantly higher with mesh at nine (40.9%) compared to no mesh redo at 14 (17.9%), P\u2009=\u20090.023. There was no difference in rates of visceral injury with mesh at four (18.2%) and no mesh at six (7.7%), P\u2009=\u20090.22. The median follow-up was 7\u00a0months; there was no difference in reflux rates (P\u2009=\u20090.70) but higher rates of dysphagia (P\u2009=\u20090.010). Higher overall complications were noted in patients with previous hiatal mesh repair at the time of LHR. However, major visceral complications were similar regardless of mesh use. Mesh at the hiatus should not be a deterrent for reoperative hiatus surgery.<\/jats:p>","DOI":"10.1093\/dote\/doae050","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T12:08:10Z","timestamp":1717762090000},"source":"Crossref","is-referenced-by-count":6,"title":["Impact of pre-existing mesh at the hiatus at revisional hiatal hernia surgery"],"prefix":"10.1093","volume":"37","author":[{"given":"Ahmed W H","family":"Barazanchi","sequence":"first","affiliation":[{"name":"Department of Surgery, Capital and Coast District Health Board , Wellington,","place":["New Zealand"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juanita Noeline","family":"Chui","sequence":"additional","affiliation":[{"name":"Northern Clinical School, University of Sydney , St Leonards, NSW,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nazim","family":"Bhimani","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital , Sydney, NSW,","place":["Australia"]},{"name":"Faculty of Medicine and Health, University of Sydney , St Leonards, NSW,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Leibman","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital , Sydney, NSW,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garett","family":"Smith","sequence":"additional","affiliation":[{"name":"Northern Clinical School, University of Sydney , St Leonards, NSW,","place":["Australia"]},{"name":"Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital , Sydney, NSW,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,7]]},"reference":[{"key":"2024100305410282100_ref1","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1002\/bjs.5492","article-title":"Seven-year follow-up of a randomized clinical trial comparing proton-pump inhibition with surgical therapy for reflux oesophagitis","volume":"94","author":"Lundell","year":"2007","journal-title":"Br J Surg"},{"key":"2024100305410282100_ref2","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1177\/000313481508100817","article-title":"A single institution\u2019s first 100 patients undergoing laparoscopic anti-reflux fundoplications: where are they 20 years later?","volume":"81","author":"Sadowitz","year":"2015","journal-title":"Am Surg"},{"key":"2024100305410282100_ref3","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1007\/s11605-008-0659-8","article-title":"Ten-year outcome of laparoscopic 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cases","volume":"193","author":"Carlson","year":"2001","journal-title":"J Am Coll Surg"},{"key":"2024100305410282100_ref7","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1007\/s00464-014-4057-x","article-title":"Erratum to: reoperation rates after laparoscopic fundoplication","volume":"29","author":"Zhou","year":"2015","journal-title":"Surg Endosc"},{"key":"2024100305410282100_ref8","doi-asserted-by":"crossref","first-page":"39","DOI":"10.4103\/ijawhs.ijawhs_12_19","article-title":"Current state of repair of large hiatal hernia","volume":"2","author":"Watson","year":"2019","journal-title":"Int J Abdom Wall Hernia Surg"},{"key":"2024100305410282100_ref9","first-page":"481","article-title":"Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial","volume":"244","author":"Oelschlager","year":"2006","journal-title":"Ann 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A"},{"key":"2024100305410282100_ref13","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.surg.2023.05.029","article-title":"Pre-existing hiatal mesh increases morbidity during and after revisional antireflux surgery: a retrospective multicenter study","volume":"174","author":"Liu","year":"2023","journal-title":"Surgery"},{"key":"2024100305410282100_ref14","doi-asserted-by":"crossref","first-page":"573","DOI":"10.7326\/0003-4819-147-8-200710160-00010","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"147","author":"Elm","year":"2007","journal-title":"Ann Intern Med"},{"key":"2024100305410282100_ref15","doi-asserted-by":"crossref","first-page":"3083","DOI":"10.1093\/eurheartj\/ehz301","article-title":"Myocardial injury after non-cardiac surgery: diagnosis and management","volume":"41","author":"Devereaux","year":"2020","journal-title":"Eur Heart 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