Paraesophageal Hernia
Conditions
Keywords
Paraesophageal, Hernia
Brief summary
Paraesophageal hernia can cause significant clinical symptoms, including reflux, chest pain, nausea, regurgitation, and even life threatening conditions such as bowel obstruction, and gastric volvulus. Repair of a paraesophageal hernia is associated with significant recurrence rate, with primary repair often in excess of 50%. Hernia recurrence and revisional surgery significantly increase the likelihood of complications and decreased quality of life.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients age 18-80 undergoing elective or emergent paraesophageal hernia repair for symptomatic paraesophageal hernia will be eligible for enrollment into the study.
Exclusion criteria
* Patients with previous history of esophageal, gastric, diaphragmatic, or anti-reflux surgery will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Outcome | Immediately following procedure | Intraoperative Pre and Post hernia sac excision crural tension measurement will be collected. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Competeness of hernia sac excision | Immediately following procedure | Determining whether the hernia sac excision was complteted or partial |
| Paraesophageal hernia type | Immediately following procedure | Comparing the paraesophageal hernia type |
| Mesh useage | Immediately following procedure | Comparing the type of mesh used during the procedure |
| Complications | 30-days post-op | Following patients for post-op complications |
| Comparing dephographics | 30-days post-op | Looking at the patients demographics and comparing them to the above outcomes |
Countries
United States