Hernia, Paraesophageal Hernia
Conditions
Keywords
Biomaterials, Paraesophageal Hernia, Laparoscopy
Brief summary
The purpose of this randomized study is to determine whether a type of mesh derived from a layer of pig small intestine (SIS) is of benefit in treating paraesophageal hernias versus standard surgical suture repair.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years * Documented symptomatic paraesophageal hernia * Ability to participate in follow-up evaluation * Has a telephone * Free of cognitive or speech impairment
Exclusion criteria
* Patients requiring intra-operative conversion to an open procedure * Unable to close the crura primarily * Short esophagus that requires the surgeon to perform a lengthening procedure * Previous operation of the esphagus or stomach * Associated gastrointestinal diseases that require extensive medical or surgical intervention that might interfere with quality of like assessment * Intraoperative full-thickness perforation of the esophagus * Emergent operation for acute volvulus * Ineffective peristalsis defined as average amplitude of peristalsis less than 30 mmHg or \< 70% propagation of peristaltic waves in the distal esophagus
Countries
United States