scholarly journals Wedge gastroplasty and reinforced crural repair: Important components of laparoscopic giant or recurrent hiatal hernia repair

2006 ◽  
Vol 132 (5) ◽  
pp. 1196-1202.e3 ◽  
Author(s):  
Bryan A. Whitson ◽  
Chuong D. Hoang ◽  
Adam K. Boettcher ◽  
Peter S. Dahlberg ◽  
Rafael S. Andrade ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Recurrent Hiatal Hernia ◽  
Crural Repair

scholarly journals Robotic Recurrent Hiatal Hernia Repair, Collis Gastroplasty, and Nissen Fundoplication

Videoscopy ◽  
2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Salim Hosein ◽  
Dietric Hennings ◽  
Crystal Krause ◽  
Dmitry Oleynikov
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Nissen Fundoplication ◽  
Hiatal Hernia Repair ◽  
Collis Gastroplasty ◽  
Recurrent Hiatal Hernia

P6 HIATAL HERNIA REPAIR BY TENSION-FREE MESH CLOSURE OR SIMPLE SUTURING OF THE DIAPHRAGMATIC HIATUS

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
Analatos Apostolos ◽  
Håkanson Bengt ◽  
Lundell Lars ◽  
Lindblad Mats ◽  
Thorell Anders
Keyword(s):  
Quality Of Life ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Esophageal Reflux ◽  
Recurrence Rates ◽  
Tension Free ◽  
Absorbable Mesh ◽  
Recurrent Hiatal Hernia

Abstract Aim To assess the anatomical and functional results of the use of a mesh for the repairing of hiatal hernia in patients with gastro-esophageal reflux disease (GERD) Background & Methods In hiatal hernia repair during antireflux surgery, less focus has traditionally been directed towards the restoration of the diaphragmatic hiatus. In other types of hernia repair, the use of a mesh-reinforced, tension-free technique has been shown to be associated with reduced recurrence rates. Patients (n=159) undergoing Nissen fundoplication for gastro-esophageal reflux disease were randomized to closure of the diaphragmatic hiatus with either crural sutures alone (n=77) or tension-free closure with a non-absorbable mesh (Crurasoft®, n=82). Primary outcome was radiologically verified recurrent hiatal hernia. Secondary outcomes were intra-and postoperative complications and courses, symptomatic recurrence, use of PPI, postoperative oesophageal acid exposure and Quality of Life. Results At 3 years recurrence rates were 12 % and 9 % in the mesh and suture groups respectively (p=0,61). Control of GERD symptoms, use of PPI and oesophageal acid exposure did not differ between groups. At the same time obstructive eating complaints were reduced in both groups compared to the preoperative setting (p<0.05) but more patients scored dysphagia for solid food after mesh closure (p=0,027). Quality of life scores were significantly improved throughout the follow up without differences between groups. Conclusion Tension-free crural repair with non-absorbable mesh does not reduce the incidence of recurrent hiatal hernia compared to crural sutures alone in GERD patients undergoing total fundoplication. This, together with the finding of increased dysphagia at 3 years postoperatively, suggests that mesh closure cannot be recommended for routine use in laparoscopic hiatal hernia repair for GERD.

scholarly journals Trans-hiatal herniation following esophagectomy or gastrectomy: retrospective single-center experiences with a potential surgical emergency

Hernia ◽  
2021 ◽  
Author(s):  
P. U. Oppelt ◽  
I. Askevold ◽  
R. Hörbelt ◽  
F. C. Roller ◽  
W. Padberg ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Surgical Repair ◽  
Clinical Symptoms ◽  
Gastrointestinal Symptoms ◽  
Case Series ◽  
Gastric Surgery ◽  
Hiatal Hernia Repair ◽  
Single Center ◽  
Asymptomatic Patients

Abstract Purpose Trans-hiatal herniation after esophago-gastric surgery is a potentially severe complication due to the risk of bowel incarceration and cardiac or respiratory complaints. However, measures for prevention and treatment options are based on a single surgeon´s experiences and small case series in the literature. Methods Retrospective single-center analysis on patients who underwent surgical repair of trans-hiatal hernia following gastrectomy or esophagectomy from 01/2003 to 07/2020 regarding clinical symptoms, hernia characteristics, pre-operative imaging, hernia repair technique and perioperative outcome. Results Trans-hiatal hernia repair was performed in 9 patients following abdomino-thoracic esophagectomy (40.9%), in 8 patients following trans-hiatal esophagectomy (36.4%) and in 5 patients following conventional gastrectomy (22.7%). Gastrointestinal symptoms with bowel obstruction and pain were mostly prevalent (63.6 and 59.1%, respectively), two patients were asymptomatic. Transverse colon (54.5%) and small intestine (77.3%) most frequently prolapsed into the left chest after esophagectomy (88.2%) and into the dorsal mediastinum after gastrectomy (60.0%). Half of the patients had signs of incarceration in pre-operative imaging, 10 patients underwent emergency surgery. However, bowel resection was only necessary in one patient. Hernia repair was performed by suture cruroplasty without (n = 12) or with mesh reinforcement (n = 5) or tension-free mesh interposition (n = 5). Postoperative pleural complications were most frequently observed, especially in patients who underwent any kind of mesh repair. Three patients developed recurrency, of whom two underwent again surgical repair. Conclusion Trans-hiatal herniation after esophago-gastric surgery is rare but relevant. The role of surgical repair in asymptomatic patients is disputed. However, early hernia repair prevents patients from severe complications. Measures for prevention and adequate closure techniques are not yet defined.

Fevers After Redo Nissen Fundoplication With Hiatal Hernia Repair

2014 ◽  
Vol 186 (2) ◽  
pp. 507
Author(s):  
N.E. Sharp ◽  
H. Alemayehu ◽  
A. Desai ◽  
S.D. St. Peter
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Nissen Fundoplication ◽  
Hiatal Hernia Repair

scholarly journals Iatrogenic cardiac tamponade after laparoscopic hiatal hernia repair requiring emergency sternotomy

2018 ◽  
Vol 56 (1) ◽  
pp. 215-215 ◽  
Author(s):  
Samuel Heuts ◽  
Walther N K A van Mook ◽  
Eric J Belgers ◽  
Roberto Lorusso
Keyword(s):  
Hernia Repair ◽  
Cardiac Tamponade ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Laparoscopic Hiatal Hernia Repair
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