Large Hiatus Hernia: Suture Repair vs. Absorbable Mesh vs. Nonabsorbable Mesh

Overview

Featured Article

Watson DI, Thompson SK, Devitt PG, et al. Five Year Follow-up of a Randomized Controlled Trial of Laparoscopic Repair of Very Large Hiatus Hernia With Sutures Versus Absorbable Versus Nonabsorbable Mesh. Ann Surg. 2020;272(2):241-247. doi:10.1097/SLA.0000000000003734

 

 

Expert Reviews

Methodological Reviewer: Melina Vassiliou, MD, MEd, FRCSC and Giuseppe Frenda MD

Clinical Reviewer: Amber Shada MD, FACS

Clinical Reviewer: Patrick Reardon, MD, FACS

 

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Questions

Please read the above articles and be prepared to discuss the following:

  1. What is the clinical question being addressed? 
  2. Was the assignment of patients to treatment randomized? 
  3. Were all patients who entered the trial properly accounted for and attributed at its conclusions? 
  4. Were patients, their clinicians and study personnel “blind” to treatment? 
  5. Were the groups similar at the start of the trial? 
  6. Aside from the experimental intervention, were the groups treated equally? 
  7. How large and precise was the treatment effect? 
  8. Can the results be applied to my patient care? 
  9. Were all clinically important outcomes considered? 
  10. Are the likely treatment benefits worth the potential harm and costs? 
  11. State the conclusion. Have the authors addressed the question posed? 
  12. Does the evidence support the conclusion?