XXXX Repair with Bilateral Oesophageal Fixation.

@entity357 @entity1 @entity547
Background. Despite advances in surgical repair of @entity357 , there remains a high radiological recurrence rate. We performed a novel technique incorporating bilateral oesophageal fixation and evaluated outcomes, principally symptom improvement and @entity547 recurrence. Methods. A retrospective study was performed on a prospective database of @entity1 undergoing @entity357 repair with bilateral oesophageal fixation. Retrospective and prospective quality of life (QOL), PPI usage, and @entity1 satisfaction data were obtained. @entity547 recurrence was assessed by either barium swallow or gastroscopy. Results. 87 @entity1 were identified in the database with a minimum of 3 months followup. There were significant improvements in QOL scores including GERD HRQL (29.13 to 4.38, P < 0.01), Visick (3 to 1), and RSI (17.45 to 5, P < 0.01). PPI usage decreased from a median of daily to none, and there was high @entity1 satisfaction (94%). 57 @entity1 were assessed for recurrence with either gastroscopy or barium swallow, and one @entity1 had evidence of recurrence on barium swallow at 45 months postoperatively. There was an 8% complication rate and no mortality or oesophageal perforation. Conclusions. This study demonstrates that our technique is both safe and effective in symptom control, and our recurrence investigations demonstrate at least short term durability.
