An Effective Operation For Hiatal Hernia

Hill, Lucius D.

doi:10.1097/00000658-196710000-00015

Cited by 325 publications

(91 citation statements)

References 3 publications

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“…The Hill repair is a further possible procedure but is not commonly performed [18, 19]. This relies on fixation of the anterior and posterior phrenico-esophageal tissue bundles to the preaortic fascia and median arcuate ligament.…”

Section: Which Surgical Procedure?mentioning

confidence: 99%

Laparoscopic Antireflux Surgery –It’s a Wrap!

Hinder¹,

Smith²,

Klingler³

et al. 1999

Dig Surg

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The surgical management of gastroesophageal reflux disease has been simplified by the availability of minimally invasive techniques to treat this condition. The indications and selection of patients remain the same as for open surgery and initial results with laparoscopic antireflux surgery show long-term results equal to, or better than open procedure. These procedures are technically demanding requiring surgeons skilled in advanced laparoscopy. The evaluation of patients, selection of patients for surgery, surgical techniques and anticipated outcomes are discussed.

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Section: Which Surgical Procedure?mentioning

confidence: 99%

Laparoscopic Antireflux Surgery –It’s a Wrap!

Hinder¹,

Smith²,

Klingler³

et al. 1999

Dig Surg

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“…Additionally the posterior trunk of the vagal nerve is visualized. The phrenoesophageal bundles are plicated on the site of the esophagus and are approximated with the preaortic fascia and median arcuate ligament [19,61,62].…”

Section: Other Nonfundoplication Proceduresmentioning

confidence: 99%

“…Hill et al [61][62][63] demonstrated a success rate of 90% in an early series and a 96% success rate in a later series where they evaluated the efficiency of the repair by intraoperative manometry. An advantage of this procedure seems to be less inability to belch or vomit.…”

Section: Other Nonfundoplication Proceduresmentioning

confidence: 99%

Minimally Invasive Surgical Techniques for the Treatment of Gastroesophageal Reflux Disease

Klingler

Bammer

Wetscher

et al. 1999

Dig Dis

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Open antireflux surgery produces good long-term control of disease, but new interest in the surgical management of gastroesophageal reflux disease has been stimulated by the introduction of minimally invasive techniques to perform standard antireflux procedures. In the past some scepticism existed among gastroenterologists who quoted the poor surgical results they had seen. These bad results, however, were largely due to inappropriate surgery in poorly worked-up patients or antireflux surgery performed by inexperienced surgeons. Since the introduction of minimally invasive surgery for gastroesophageal reflux disease, excellent results have been reported with over 5 years of follow-up. The most common and successfully used laparoscopically antireflux procedures are reviewed and results analyzed.

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“…Shortly thereafter, in the late 1960s, Lucius Hill [3] pioneered the repair that bears his name by demonstrating a successful posterior gastropexy that entailed anchoring the gastroesophageal junction to the median arcuate ligament. By 1977, after using this approach for 559 patients undergoing surgery for hiatal hernia, Dr. Hill [4]reported only 5 (0.89%) recurrences with 95% follow-up assessment.…”

mentioning

confidence: 99%

Laparoscopic Nissen fundoplication combined with posterior gastropexy in the surgical treatment of gastroesophageal reflux disease (GERD)

Davis

Fisichella

2010

Surg Endosc

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We read with interest the work by Tsimogiannis et al. [1], whose prospective randomized trial supported the use of a posterior gastropexy as a component to laparoscopic Nissen fundoplication. The level of evidence they reported is crucial to standardizing the technique of laparoscopic antireflux surgery. To date, evidence has largely been either observational or retrospective in nature despite the fact that antireflux surgery has been described for half a century.The inclusion of a gastropexy to prevent herniation of the fundoplication into the chest can be attributed to Rudolph Nissen [2] in 1961. Shortly thereafter, in the late 1960s, Lucius Hill [3] pioneered the repair that bears his name by demonstrating a successful posterior gastropexy that entailed anchoring the gastroesophageal junction to the median arcuate ligament. By 1977, after using this approach for 559 patients undergoing surgery for hiatal hernia, Dr. Hill [4]reported only 5 (0.89%) recurrences with 95% follow-up assessment.We applaud the authors for finally providing level 1 evidence that a posterior gastropexy has a positive impact on the results of the operation without worsening dysphagia. We in fact use a posterior gastropexy routinely during our laparoscopic Nissen fundoplications, even after lung transplantation [5]. Furthermore, in addition to the gastropexy described by Tsimogiannis et al.[1], we routinely place two stitches, one on each side of the fundoplication, to pexy the fundoplication and the esophagus to the diaphragm. These ''apical'' stitches incorporate the top of the fundoplication, the esophagus, and the uppermost portion of the crus, and at the same time pexy the fundoplication so as to avoid telescoping of the esophagus through the repair.

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An Effective Operation For Hiatal Hernia

Cited by 325 publications

References 3 publications

Laparoscopic Antireflux Surgery –It’s a Wrap!

Laparoscopic Antireflux Surgery –It’s a Wrap!

Minimally Invasive Surgical Techniques for the Treatment of Gastroesophageal Reflux Disease

Laparoscopic Nissen fundoplication combined with posterior gastropexy in the surgical treatment of gastroesophageal reflux disease (GERD)

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