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A Potential Surgical Dilemma

Karl Zucker, MD; Gerald W. Peskin, MD; Richard P. Saik, MD

Arch Surg. 1982;117(4):413-414.

Abstract
We studied 96 patients who underwent hiatal hernia repair; 17 of these patients had secondary repair. No mortality existed for elective first-time repairs, whereas there was a 17.6% mortality and a 46% morbidity in secondary repairs. No clear differences were noted with the type of repair used. Thirty-five percent of those having a recurrent hiatal hernia repair later had another recurrence. Reoperation for recurrent reflux esophagitis is more of a risk than is often thought. This information should be heavily weighed during preoperative decision making.

(Arch Surg 1982;117:413-414)

Author Affiliations
From the Departments of Surgery, Veterans Administration Medical Center, and University of California, San Diego.

Footnotes
Accepted for publication Dec 21, 1981.

Read at the Fifth Annual Surgical Symposium of the Association of Veterans Administration Surgeons, Minneapolis, May 14, 1981.

Reprint requests to Surgical Service (112), Veterans Administration Medical Center, 3350 La Jolla Village Dr, San Diego, CA 92161 (Dr Zucker).

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