A Retrospective Review with Prospective Follow-Up of 85 Consecutive Patients Treated with MIROMESH® for Hiatal Hernia Repair
Study Investigators: G. Kevin Gillian, MD and Divya Bansal, PA-C, Virginia Heartburn and Hernia Institute, Lorton, VA
85 consecutive patients were treated between November 2016 and March 2017 and were retrospectively identified for follow up
Patients underwent laparoscopic Nissen hiatal hernia repair with MIROMESH to reinforce the hiatal junction
Follow up post surgery occurred prospectively; mean 1.3 years (range: 0.5 to 1.8 years)
73 subjects participated in the follow up (11 were not located and 1 declined participation)
IRB approved protocol, including scripted phone interview
Review of anesthesiologist reports, operative reports, and hospital and office charts
RESULTS: HIATAL HERNIA REVISIONS
There were no reported revisions of the index hernia repair at a mean of 1.3 years.
Hiatal hernia repair was easily and safely accomplished and did not result in any mesh-related complications.
Post surgery (up to 1.8 years), patients reported:
No endoscopic or surgical reinterventions
Significantly improved GERD-HRQL scores
No proton pump inhibitor use in the previous 3 months for 90% of the cohort
This data suggests that a durable repair was achieved, which should be encouraging to surgeons seeking to reinforce hiatal hernias.