title: Mesh hiatal reinforcement in Nissen fundoplication.
abstract: Persistent or recurrent gastro-oesophageal reflux (GOR) following Nissen fundoplication occurs in up to one in five cases, especially if the child is neurologically impaired. We advocate the use of mesh hiatal reinforcement for patients undergoing reoperation for GOR or if the diaphragmatic crura are thought to require reinforcement at the time of the original surgery.
authors.affiliation: Department of Paediatric Surgery, University Hospital of Wales, Cardiff, UK.
authors.forename: A W
authors.initials: AW
authors.lastname: Lambert
authors.forename: S N
authors.initials: SN
authors.lastname: Huddart
mesh_terms: D002675:Child, Preschool; D005260:Female; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000628:therapy*; D006551:Hernia, Hiatal / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D012086:Reoperation; D013526:Surgical Mesh