Bikini-line Hiatal Hernia Repair (BLHHR) During Sleeve Gastrectomy

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Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery but raises concerns about gastroesophageal reflux disease (GERD).
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Hiatal hernia (HH) occurs in 23-52.6% of obese patients and is an independent risk factor for GERD, with 25% of LSG patients having HH.
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The Bikini-Line Sleeve Gastrectomy (BLSG) technique aims to minimize visible scarring by placing trocars along the bikini line.
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The Bikini-Line Hiatal Hernia Repair (BLHHR) approach allows for simultaneous repair of HH during BLSG without compromising safety.
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A prospective study evaluated the feasibility and safety of BLHHR, focusing on patient outcomes, complications, and satisfaction with scar appearance.

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