COMPARATIVE REVIEW OF CURRENT SURGICAL TREATMENT OPTIONS FOR HIATAL HERNIA
Abstract
Recent advances in surgical techniques for hiatal hernia repair have fundamentally transformed treatment approaches, leading to a paradigm shift toward personalized surgical strategies. This comprehensive review analyzes surgical approaches through systematic evaluation of expert perspectives from 2014-2024, examining outcomes across laparoscopic, robotic, and open surgical techniques. The analysis encompasses surgical approach selection criteria, mesh usage protocols, and both short-term and long-term outcome assessments. Recent studies demonstrate evolving trends toward minimally invasive approaches while acknowledging the continued importance of traditional techniques in specific clinical scenarios. Analysis of surgical outcomes reveals varying success rates: 85-95% for primary repairs and 70-85% for complex cases, with recurrence rates ranging from 12-25% depending on technique and patient factors. Emerging technologies, particularly robotic platforms and advanced imaging systems, show promise in improving surgical precision and outcomes. The review highlights the critical importance of individualized approach selection based on patient-specific factors, standardized preoperative evaluation protocols, and technical precision in achieving optimal surgical outcomes.
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References
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