Abstract:
Background: A hiatal hernia occurs when abdominal contents protrude into the mediastinum via the diaphragmatic hiatus, often due to weakened phreno-esophageal ligaments. Diagnosis involves clinical assessment, imaging, and endoscopy. Management varies from lifestyle changes to surgery, necessitating a comprehensive understanding.
Patients and Methods: This retrospective cohort study, conducted at Ain Shams University Hospitals' Bariatric Surgery Unit from October 2019 to January 2020, involved 60 individuals undergoing laparoscopic sleeve gastrectomy (SG), randomly assigned to groups A and B. Ethical approval and informed consent were obtained.
Results: In group A, SG patients without preoperative hiatus hernia showed a 10% incidence of postoperative hiatus hernia at 9 months. Contrastingly, in group B, where ligamentum teres reinforcement was applied during SG, the incidence was notably lower at 3.3% at the same interval. These results suggest a significant reduction in postoperative hiatus hernia occurrence with ligamentum teres reinforcement, indicating its potential benefit in mitigating this complication.
Conclusion: Incorporating ligamentum teres reinforcement during SG demonstrated a substantial decrease in postoperative hiatus hernia incidence compared to SG alone. Patients in group B experienced a halved or more reduction in hiatus hernia occurrence. While promising, larger studies and longer follow-ups are necessary to validate these findings and assess long-term efficacy.
