PERIOPERATIVE AND QUALITY OF LIFE OUTCOMES IN LAPAROSCOPIC REPAIR OF SLIDING HIATAL HERNIA IN A TERTIARY CARE CENTER- A PROSPECTIVE STUDY awanishkr79@gmail.com

 

PERIOPERATIVE AND QUALITY OF LIFE OUTCOMES IN LAPAROSCOPIC REPAIR OF SLIDING HIATAL HERNIA IN A TERTIARY CARE CENTER- A PROSPECTIVE STUDY

2

India

Oral or Poster

Sliding hiatal hernia with gastro-oesophageal reflux disease (GERD) often warrants surgery when pharmacotherapy fails, yet dedicated outcome data remain sparse.

In a prospective observational study at King George’s Medical University, Lucknow (February 2024 – April 2025), 25 adults with endoscopy- and manometry-confirmed sliding hiatal hernia and refractory GERD underwent laparoscopic crural closure plus either Nissen or Toupet fundoplication. Operative details, complications and length of stay were documented. Health-related quality of life (HRQoL; GERD-HRQL, EQ-5D-5L, visual analogue scale) was recorded pre-operatively and at 2 weeks, 1 month and 6 months; p < 0.05 was significant.

Participants were mainly male (64 %) and under 40 years (70 %). Heartburn (60 %), regurgitation and dyspepsia were predominant complaints. Nissen fundoplication was performed in 19 cases (76 %). Duration of surgery 134.25 minutes(±17.75), average duration of hospital stay was 6.04 days(±2.73). Intra-operative bleeding occurred in two patients (8 %) and one conversion (4 %) was required; no mortality occurred. Transient dysphagia developed in 48 % but resolved conservatively. By six months, 80 % had discontinued proton-pump inhibitors. GERD-HRQL, regurgitation and pain VAS scores improved significantly at every postoperative assessment (all p < 0.001), mirrored by gains in EQ-5D-5L pain and anxiety/depression domains; overall satisfaction rose from 0 % to 80 %.

Laparoscopic repair of sliding hiatal hernia offers refractory-GERD patients a reliable, minimally invasive solution, delivering marked symptom relief, reduced proton-pump-inhibitor reliance, improved quality of life, and high satisfaction, while maintaining low complication rates, shortening hospitalisation, and enabling earlier resumption of normal daily activities.