Clinical efficacy analysis of laparoscopic hernia repair in treating hiatal hernia with iron-deficiency anemia

doi:10.16139/j.1007-9610.2026.01.08

Abstract

Abstract:

Objective To investigate the clinical efficacy of laparoscopic hiatal hernia repair (LHHR) in patients with hiatal hernia (HH) complicated by iron-deficiency anemia (IDA). Methods A retrospective analysis was conducted on 195 HH patients with IDA who underwent LHHR at our hospital from January 2012 to December 2024. Preoperative and 12 months postoperative hemoglobin (Hb) levels, anemia-related symptoms, and Gastroesophageal Reflux Disease Questionnaire (GERD-Q) scores were compared. Results Among the 195 patients, 129 (66.2%) were female, and 80 (41.0%) had massive HH. There were 13 patients (6.7%) aged 18-40 years, 78 (40.0%) aged 41-60 years, and 104 (53.3%) over 60 years. At 12 months follow-up, Hb levels significantly increased from (108.4±12.6) g/L to (128.7±11.3) g/L (P<0.001), with resolution of anemia symptoms in all patients. GERD-Q scores decreased from (11.2±2.1) to (7.0±1.5) (P<0.001). No recurrence of HH was observed on imaging. Conclusions LHHR is effective in correcting IDA and alleviating reflux symptoms, demonstrating favorable short-term outcomes and safety. Long-term efficacy warrants further follow-up evaluation.

Key words: Hiatal hernia(HH), Iron-deficiency anemia(IDA), Laparoscopic repair

CLC Number:

MAIMAITIAILI Maimaitiming, DUOLIKUN Yasheng, HUANG Zhuo, HUANG Xudong, AIKEBAIER Aili, KELIMU Abudureyimu. Clinical efficacy analysis of laparoscopic hernia repair in treating hiatal hernia with iron-deficiency anemia[J]. Journal of Surgery Concepts & Practice, 2026, 31(01): 45-49.

Figures/Tables 5

References 15

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Item	Before surgery（At admission）	12 months after surgery	t value	P value
Hb(g/L)	108.4±12.6	128.7±11.3	24.991	<0.001
GERD-Q	11.2±2.1	7.0±1.5	-12.503	<0.001