Table 3.
Expert recommendations for technical steps during reconstruction in pHH repair
| Strongly recommended/Recommended (%) | Neither recommended nor discouraged (%) | Discouraged/Strongly discouraged (%) | Overall assessment | |
|---|---|---|---|---|
| Suture repair | 100 | 0 | 0 | Recommended |
| Antireflux procedure | 96 | 4 | 0 | Recommended |
| In case of short esophagus: Esophageal lengthening procedure (Collis or other) | 51 | 36 | 13 | Acceptable |
| Positioning of large-bore esophageal tube | 45 | 37 | 18 | Acceptable |
| Gastropexy | 40 | 33 | 27 | Acceptable |
| Use of mesh | 25 | 52 | 22 | Acceptable |
| Postoperative wound drain | 24 | 25 | 51 | Acceptable |
| Postoperative gastric decompression tube | 16 | 25 | 58 | Acceptable |
| Postoperative chest drain | 6 | 25 | 69 | Acceptable |
| Ligamentum teres to reinforce hiatal repair | 4 | 43 | 52 | Acceptable |
| Use of relaxing diaphragmatic incisions | 4 | 39 | 57 | Acceptable |
| Left hepatic lobe (hepatic shoulder) to reinforce hiatal repair | 3 | 30 | 67 | Acceptable |