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首页> 外文期刊>Journal of laparoendoscopic and advanced surgical techniques, Part A >Paraesophageal Hernia: To Mesh or Not to Mesh? The Controversy Continues
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Paraesophageal Hernia: To Mesh or Not to Mesh? The Controversy Continues

机译：Paraesophageal Hernia：网格或不筛网？ 争议仍在继续

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Introduction: Paraesophageal hernias represent 5%-10% of all primary hiatal hernias and are becoming increasingly more common with the aging of the population. Surgical treatment includes closure of the wide hiatal gap. Achieving tension-free closure is difficult, and several studies have reported lower recurrence rates with the use of mesh reinforcement. The use of this technique, however, is controversial. Objective and Materials and Methods: Narrative revision of the literature revising: (1) evidence-based surgery and clinical studies, (2) what the experts say (Delphi), (3) complications of mesh, and (4) long-term results of laparoscopic treatment impact on the quality of life. Results: Consensus about the type of mesh continues to be elusive, and we clearly need a higher level of evidence to address the controversy. Conclusion: Mesh reinforcement can effectively reduce the hernia recurrence rate. Mesh-associated complications are few, but because they are serious, most experts recommend mesh use only in specific circumstances, particularly those in relation to the size of the hiatal defect and the quality of the crura.
机译：介绍：Paraesophageal Hernias占所有原发性海豚疝的5％-10％，与人口老龄化变得越来越普遍。手术治疗包括封闭宽的胞间隙。难以实现无张力闭合，几项研究报告了使用网格加固的复发率较低。然而，这种技术的使用是有争议的。目标与材料和方法：文献修订的叙事修订：（1）基于证据的手术和临床研究，（2）专家说（Delphi），（3）网格并发症，（4）长期结果腹腔镜治疗对生活质量的影响。结果：关于网格类型的共识继续难以实现，我们显然需要更高水平的证据来解决争议。结论：网格加固可有效降低疝复制率。网眼相关的并发症很少，但由于它们是严重的，大多数专家都建议在特定情况下的网格使用，特别是那些与人群缺陷的规模和毛灾的质量有关。

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