title: Permanent mesh results in long-term symptom improvement and patient satisfaction without increasing adverse outcomes in hiatal hernia repair.
abstract: BACKGROUND
  The purpose of this study is to evaluate symptom relief, patient satisfaction, and safety of permanent mesh following Nissen fundoplication and hiatal hernia repair.
  
  
  METHODS
  Patients who underwent Nissen fundoplication and hiatal hernia repair with permanent mesh (Crurasoft; Davol, Inc, Bard, Warwick, RI) between 2005 and 2011 were identified. A retrospective chart review was conducted. Long-term follow-up data were obtained via telephone interviews using a modified 5-point Likert scale.
  
  
  RESULTS
  Forty-one patients were identified. Twenty-six patients (63%) had complete follow-up data. Mean follow-up period was 65 months (14 to 96 months). Symptomatic improvement occurred in 23 patients (88%). Twenty-three patients (88%) reported overall satisfaction with the procedure as either excellent or good, and 23 of 26 patients (89%) would undergo surgery again. Three patients (12%) reported hernia recurrence. There were no mesh erosions.
  
  
  CONCLUSIONS
  The use of permanent (Crurasoft; Davol, Inc) mesh resulted in symptom improvement as well as patient satisfaction, and no mesh erosions were seen.
authors.affiliation: Department of Surgery, Rush University Medical Center, 1750 W. Harrison, 791 Jelke, Chicago, IL 60612, USA. Electronic address: Lindsay_Petersen@rush.edu.
authors.forename: Lindsay F
authors.initials: LF
authors.lastname: Petersen
authors.affiliation: Department of Surgery, Rush University Medical Center, 1750 W. Harrison, 791 Jelke, Chicago, IL 60612, USA.
authors.forename: Shannon L
authors.initials: SL
authors.lastname: McChesney
authors.affiliation: Department of Surgery, Rush University Medical Center, 1750 W. Harrison, 791 Jelke, Chicago, IL 60612, USA.
authors.forename: Shaun C
authors.initials: SC
authors.lastname: Daly
authors.affiliation: Department of Surgery, Rush University Medical Center, 1750 W. Harrison, 791 Jelke, Chicago, IL 60612, USA.
authors.forename: Keith W
authors.initials: KW
authors.lastname: Millikan
authors.affiliation: Department of Surgery, Rush University Medical Center, 1750 W. Harrison, 791 Jelke, Chicago, IL 60612, USA.
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Myers
authors.affiliation: Department of Surgery, Rush University Medical Center, 1750 W. Harrison, 791 Jelke, Chicago, IL 60612, USA.
authors.forename: Minh B
authors.initials: MB
authors.lastname: Luu
mesh_terms: D005260:Female; D018662:Fundoplication; D006551:Hernia, Hiatal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Erosion; Fundoplication; Hernia; Hiatus; Mesh