title: Prospective evaluation of crural repair with and without double-sided mesh reinforcement.
abstract: BACKGROUND
  Laparoscopic Nissen fundoplication is gold standard treatment for gastroesophageal reflux disease. We examined the results of laparoscopic Nissen fundoplication with or without double-sided polypropylene mesh.
  
  
  METHODS
  Sixty patients were prospectively evaluated. Primer cruroraphy and primer cruroraphy with mesh were performed in 31 and 29 patients, respectively. The Gastrointestinal Quality of Life Index (GIQLI) was used for assessment of the patient satisfaction preoperatively and postoperatively at 12 months.
  
  
  RESULTS
  Sixty patients were included in the study, with a mean age of 42 years. There was no difference between the 2 groups with respect to age, sex, and duration of symptoms. GIQLI showed an equal improvement, and there were no differences in the quality of life in both the groups. All patients' endoscopic findings were normal at first year.
  
  
  CONCLUSIONS
  Laparoscopic Nissen fundoplication appears to prevent reflux and its symptoms and create better quality of life. Double-sided polypropylene mesh for repair may result in better quality of life.
authors.affiliation: Department of Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
authors.forename: Mehmet Mahir
authors.initials: MM
authors.lastname: Ozmen
authors.forename: Ismail C
authors.initials: IC
authors.lastname: Bilgic
authors.forename: Ugur
authors.initials: U
authors.lastname: Kilinc
authors.forename: Sibel
authors.initials: S
authors.lastname: Gelecek
authors.forename: Munevver
authors.initials: M
authors.lastname: Moran
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D011787:Quality of Health Care; D013526:Surgical Mesh; D013997:Time Factors; D055815:Young Adult