Spontaneous oesophageal perforation after laparoscopic hiatus hernia repair

2014 ◽  
Vol 85 (11) ◽  
pp. 887-888
Author(s):  
Martyn L. Humphreys ◽  
Bevan Jenkins ◽  
Jason Robertson ◽  
Michael Rodgers
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia ◽  
Oesophageal Perforation

scholarly journals Hiatus Hernia Repair with Bilateral Oesophageal Fixation

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Rajith Mendis ◽  
Caran Cheung ◽  
David Martin
Keyword(s):  
Patient Satisfaction ◽  
Hernia Repair ◽  
Hiatus Hernia ◽  
Symptom Control ◽  
Hernia Recurrence ◽  
Barium Swallow ◽  
Oesophageal Perforation ◽  
Symptom Improvement ◽  
Prospective Database

Background. Despite advances in surgical repair of hiatus hernias, there remains a high radiological recurrence rate. We performed a novel technique incorporating bilateral oesophageal fixation and evaluated outcomes, principally symptom improvement and hernia recurrence.Methods. A retrospective study was performed on a prospective database of patients undergoing hiatus hernia repair with bilateral oesophageal fixation. Retrospective and prospective quality of life (QOL), PPI usage, and patient satisfaction data were obtained. Hernia recurrence was assessed by either barium swallow or gastroscopy.Results. 87 patients were identified in the database with a minimum of 3 months followup. There were significant improvements in QOL scores including GERD HRQL (29.13 to 4.38,P<0.01), Visick (3 to 1), and RSI (17.45 to 5,P<0.01). PPI usage decreased from a median of daily to none, and there was high patient satisfaction (94%). 57 patients were assessed for recurrence with either gastroscopy or barium swallow, and one patient had evidence of recurrence on barium swallow at 45 months postoperatively. There was an 8% complication rate and no mortality or oesophageal perforation.Conclusions. This study demonstrates that our technique is both safe and effective in symptom control, and our recurrence investigations demonstrate at least short term durability.

657 ROUTINE ESOPHAGRAMS FOLLOWING HIATUS HERNIA REPAIR MINIMISES REOPERATIVE MORBIDITY: A MULTICENTER COMPARATIVE COHORT STUDY

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
David Liu ◽  
Melissa Wee ◽  
James Grantham ◽  
Bee Ong ◽  
Stephanie Ng ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia ◽  
Functional Outcomes ◽  
Gastric Resection ◽  
Postoperative Morbidity ◽  
Early Complications ◽  
Esophageal Obstruction ◽  
Comparative Cohort Study ◽  
One Year

Abstract   Hiatus hernia repairs are common. Early complications such as re-herniation, esophageal obstruction and perforation, although infrequent, incur significant morbidity. Here, we determine whether routine postoperative esophagrams following hiatus hernia repair may expedite the surgical management of these complications, reduce reoperative morbidity, and improve functional outcomes. Methods Analysis of a prospectively-maintained database of 1829 hiatus hernia repairs undertaken in 14 hospitals from 1 January 2000 to 30 September 2020. 1571 (85.9%) patients underwent a postoperative esophagram which was reviewed. An early (&lt;14 days) reoperation was performed in 44 (2.4%) patients. Results Compared to those without an esophagram, patients who received one prior to reoperation (n = 37) had a shorter time to diagnosis (2.4 vs. 3.9 days, p = 0.041) and treatment (2.4 vs. 4.3 days, p = 0.037) of their complications. This was associated with decreased open surgery (10.8% vs. 42.9%, p = 0.034), gastric resection (0.0% vs. 28.6%, p = 0.022), postoperative morbidity (13.5% vs. 85.7%, p &lt; 0.001), ICU admission (16.2% vs. 85.7%, p &lt; 0.001), and length-of-stay (7.3 vs. 18.3 days, p = 0.009). Furthermore, patients who underwent early reoperations for asymptomatic re-herniation had less complications and superior functional outcomes at one-year follow-up than those who needed surgery for symptomatic recurrences later on. Conclusion Postoperative esophagrams decreases the morbidity associated with early and late reoperations following hiatus hernia repair, and should be considered for routine use.

Long-term outcomes of laparoscopic large hiatus hernia repair with nonabsorbable mesh

2018 ◽  
Vol 31 (5) ◽  
Author(s):  
A C Gordon ◽  
C Gillespie ◽  
J Son ◽  
T Polhill ◽  
S Leibman ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia ◽  
Long Term Outcomes ◽  
Large Hiatus Hernia

A634 Revisional surgery from RYGB to sleeve gastrectomy plus JJB and hiatus hernia repair

2019 ◽  
Vol 15 (10) ◽  
pp. S259-S260
Author(s):  
Jingge Yang ◽  
Bingsheng Guan ◽  
Tsz Hong Chong ◽  
Juzheng Peng ◽  
Cunchuan Wang
Keyword(s):  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatus Hernia ◽  
Revisional Surgery

Late results of paraoesophageal hiatus hernia repair with fundoplication

1998 ◽  
Vol 85 (2) ◽  
pp. 272-275 ◽  
Author(s):  
Luostarinen ◽  
Rantalainen ◽  
Helve ◽  
Reinikainen ◽  
Isolauri
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia ◽  
Late Results

A four year reappraisal of hiatus hernia repair by intraperitoneal gastric fixation

1965 ◽  
Vol 110 (6) ◽  
pp. 903-909 ◽  
Author(s):  
H.Haskell Ziperman ◽  
Bennett M.K. Lau
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia

Hiatus Hernia

1968 ◽  
Vol 13 (4) ◽  
pp. 103-109 ◽  
Author(s):  
P. R. Walbaum ◽  
R. J. M. McCormack
Keyword(s):  
Hernia Repair ◽  
Medical Treatment ◽  
Hiatus Hernia ◽  
Small Proportion ◽  
The Elderly ◽  
Safe Procedure ◽  
Oesophageal Stricture ◽  
Sliding Hernia

Hiatus hernia is a frequent cause of distressing symptoms. The present attitude to this condition is reviewed on the basis of reports in the literature and a personal series of 224 patients. Oesophagoscopy must be a routine part of investigation. There is a tendency to persevere too long with medical treatment. Hernia repair is a safe procedure even in the elderly and the results are good. Results of repair of para-oesophageal hernia are almost uniformly excellent and this type of hernia should always be treated surgically. Repair of sliding hernia should be advised if a few months of medical treatment fail to relieve symptoms or if oesophagitis is present, and good results can be expected in about 90 per cent of uncomplicated cases. When an oesophageal stricture has developed the results of hernia repair are less good but a good result is still achieved in 70 per cent of patients. A small proportion of patients with fibrous strictures require resection.

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