Appendix, Gallbladder and Surgical Emergencies · 12 August 2024

Fundoplication leads to fewer complications than gastric fixation.

A retrospective cohort study analyzing 1,317 emergency hiatal hernia repairs revealed that fundoplication significantly reduced 30-day complication (odds ratio [OR] 0.53, p < 0.001) and mortality rates (OR 0.55, p = 0.033) compared to gastric fixation. No significant differences were found regarding 30-day readmission (OR 0.86, p = 0.449) or reoperation rates (OR 0.66, p = 0.063). Fundoplication emerges as a safe and feasible approach for managing hiatal hernias in urgent situations.

Journal Article by Srikrishnaraj D, Hawel J, Schlachta CM and Elnahas A in Surg Endosc

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