title: Current readings: Failed hiatal hernia repair.
abstract: Recurrent hiatal hernia is noted in up to 70% of patients undergoing reoperative antireflux procedure. Role of short esophagus vis-à-vis a need for Collis gastroplasty, mesh reinforcement of hiatus, and access of surgery (thoracotomy vs laparotomy) have been debated. The aim of this article is to review selected recent publications that address these issues.
authors.affiliation: Department of Surgery, Creighton University, Omaha, Nebraska. Electronic address: sumeetmittal@creighton.edu.
authors.forename: Sumeet K
authors.initials: SK
authors.lastname: Mittal
authors.affiliation: Department of Surgery, Creighton University, Omaha, Nebraska.
authors.forename: Parth
authors.initials: P
authors.lastname: Shah
mesh_terms: D015391:Gastroplasty / Q000009:adverse effects; D006551:Hernia, Hiatal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000295:instrumentation; D012008:Recurrence; D012086:Reoperation; D012307:Risk Factors; D013526:Surgical Mesh; D013908:Thoracotomy / Q000009:adverse effects; D013997:Time Factors; D017211:Treatment Failure
keywords: Failed fundoplication; Re-operative surgery; Recurrent Hiatus Hernia; Short esophagus