Abstract

Nissen fundoplication is a surgical procedure primarily used to treat gastroesophageal reflux disease (GERD) and hiatal hernia. This observational study aims to evaluate the outcomes, complications, and patient satisfaction following Nissen fundoplication for hiatal hernia in Tampa, FL. By analyzing a cohort of patients who underwent the procedure, we aim to provide insights into its effectiveness and potential areas for improvement.

Introduction

Hiatal hernia is a condition where part of the stomach pushes through the diaphragm into the chest cavity. It can lead to GERD, characterized by acid reflux and heartburn. Nissen Fundoplication Hiatal Hernia In Tampa FL fundoplication is a common surgical intervention for these conditions, where the gastric fundus is wrapped around the lower esophagus to reinforce the lower esophageal sphincter, thus preventing reflux.

Tampa, FL, with its diverse population and advanced medical facilities, provides an ideal setting for this observational study. This research seeks to understand the impact of Nissen fundoplication on patients with hiatal hernia, focusing on surgical outcomes, postoperative complications, and patient-reported satisfaction levels.

Methods

Study Design

This observational study was conducted at several hospitals in Tampa, FL, from January 2018 to December 2022. Patients diagnosed with hiatal hernia and undergoing Nissen fundoplication were included. Data were collected retrospectively from medical records and patient surveys.

Participants

Inclusion criteria were adults aged 18-75 years diagnosed with hiatal hernia and who underwent elective Nissen fundoplication. Exclusion criteria included previous gastric surgery, esophageal motility disorders, and severe comorbid conditions.

Data Collection

Data were collected on patient demographics, preoperative symptoms, surgical details, postoperative complications, and follow-up outcomes. Patient satisfaction was assessed using a standardized questionnaire administered six months post-surgery.

Statistical Analysis

Descriptive statistics were used to summarize patient characteristics and outcomes. Complication rates were analyzed, and logistic regression was employed to identify factors associated with postoperative complications and patient satisfaction.

Results

Patient Demographics

A total of 250 patients were included in the study. The mean age was 52 years, with a gender distribution of 60% female and 40% male. Most patients presented with symptoms of GERD, including heartburn (85%) and regurgitation (75%).

Surgical Outcomes

The average duration of surgery was 120 minutes, with most procedures completed laparoscopically. The mean hospital stay was 3 days. Successful symptom resolution was reported in 90% of patients at the six-month follow-up.

Complications

Postoperative complications were observed in 15% of patients. The most common complications included dysphagia (8%), gas-bloat syndrome (5%), and surgical site infections (2%). No mortality was reported.

Patient Satisfaction

Overall, 88% of patients reported high satisfaction with the surgical outcome. Factors positively influencing satisfaction included complete symptom resolution and minimal postoperative complications. Dissatisfaction was primarily linked to persistent dysphagia and the need for dietary modifications.

Discussion

The findings of this study indicate that Nissen fundoplication is an effective surgical intervention for hiatal hernia in the Tampa, FL population. The high rate of symptom resolution and patient satisfaction underscores the procedure's benefits. However, the occurrence of postoperative complications, particularly dysphagia, highlights the need for careful patient selection and postoperative management.

The study's limitations include its retrospective design and reliance on patient-reported outcomes, which may introduce bias. Future research could focus on long-term outcomes and comparison with alternative surgical techniques.

Conclusion

Nissen fundoplication remains a cornerstone in the surgical management of hiatal hernia, offering significant symptom relief and patient satisfaction. While complications are relatively infrequent, they warrant attention to optimize patient outcomes. This study contributes valuable data to the body of literature on Nissen fundoplication, aiding clinicians in decision-making and patient counseling.

Acknowledgments

The authors thank the participating hospitals and patients in Tampa, FL, for their contribution to this study.

Conflicts of Interest

The authors declare no conflicts of interest.

References

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