Laparoscopic hernioplasty of hiatal hernia

Yang, Xuefei; Hua, Rong; He, Kai; Shen, Qiwei; Yao, Qiyuan

doi:10.21037/atm.2016.09.03

Cited by 9 publications

(8 citation statements)

References 10 publications

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“…Regardless of the type of the hernia, when the patient has an indication for surgical correction, the laparoscopic approach has gained more space in the surgeon's therapeutic arsenal [9] . The use of a mesh in the correction of hernia, according to Köckerling et al, is necessary in about 20% of cases of type I hiatal hernia, without a major change in this percentage between 2013 and 2019.…”

Section: Discussionmentioning

confidence: 99%

Reversal of unstable atrial fibrillation after surgical correction of hiatus hernia: A case report

Carvalho

Pivetta

Dias

et al. 2021

International Journal of Surgery Case Reports

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Introduction The presence of Atrial Fibrillation (AF) with herniation of abdominal content through the esophageal hiatus can be explained by the compression of the cardiac tissue by the viscera and, consequently, of its electrical transmission network, compromising the correct propagation of stimuli. Due to the causal relationship, hernia correction is almost always able to reverse the arrhythmic picture. Presentation of the case A 75-year-old male with atrial fibrillation with a large hiatal hernia causing clinical decompensation was successfully treated after a laparocopic correction- primary closure of the defect was made with barbed surgical thread plus and placing a biological mesh (porcine small intestine submucosa, non-cross-linked), fixed with cyanoacrylate; after the procedure, he was discharged asymptomatic and with sinus heart rhythm. Discussion It is noticed that for cases in which the patient presents with a type IV hiatal hernia associated with atrial fibrillation, the laparoscopic correction of hernia using a mesh for the correction of the defect has good results in the literature. In the present case, it is noted that despite the severity of the condition denoted by hemodynamic instability and the need for electrical cardioversion, the surgical correction of the hiatal hernia was able to reverse the arrhythmic picture definitively. Conclusion the concomitance of AF and hiatal hernia can explain the difficulty to control the arrhythmic picture and is necessary to consider, as soon as possible, the surgical correction of the defect as part of the treatment.

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Section: Discussionmentioning

confidence: 99%

Reversal of unstable atrial fibrillation after surgical correction of hiatus hernia: A case report

Carvalho

Pivetta

Dias

et al. 2021

International Journal of Surgery Case Reports

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“…Laparoscopic surgery is the golden standard for both hiatal hernia repair and cholecystectomy and offers fast recovery time with less operative time and is both safe and effective. [1] Type I hiatal hernias with impact on quality of life and refractive to medication, type II, III and IV symptomatic hiatal hernia have indication for surgery. [2] Concomitant surgery refers to performing two or more surgical operations on one patient under the same anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Concomitant Laparoscopic Hiatal Hernia Repair with Cholecystectomy: A Multicentric Study

Preda

Sapalidis

Bințințan

et al. 2020

Preprint

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Background Concomitant surgery refers to performing two or more surgical operations on one patient under the same anesthesia. Methods We performed a retrospective multicenter study from October 2016 to October 2019, analyzing patients who underwent laparoscopic hiatal hernia repair. We extracted data of patients who underwent concomitant laparoscopic surgery for both hiatal hernia repair and cholecystectomy in the following Clinics: 1st Clinic of Surgery of Craiova Emergency Clinical County Hospital, “Colțea” Hospital, 3rd Clinic of Surgery of Cluj-Napoca and 3rd Surgery Clinic of University General Hospital of Thessaloniki and identified 20 patients who underwent hiatal hernia repair and had an added cholecystectomy. Allocation of data by hiatal hernia type showed 6 type IV hernia (complex hernia), 13 type III hernias (mixed type) and 1 type I hernia (sliding hernia). Out of the 20 cases analyzed; 19 were chronic cholecystitis and one patient presented with acute cholecystitis. Average operating time was 168 minutes. Blood loss was minimum. Cruroraphy was performed in all cases, mesh reinforcement was added in 5 cases, and fundoplication was added in all cases: 3 Toupet, 2 Dorr and 15 Floppy-Nissen. Fundopexy was routinely added in cases with Toupet fundoplication. Cholecystectomy was performed in the following manner: 19 retrograde, 1 bipolar. Results All patients had favorable postoperative hospitilisation. Patient follow up was at 1 month, 3 months and 6 months, with no sign of recurrence for hiatal hernia (anatomical or symptomatic) and no postcholecystectomy syndrome. Conclusion Concomitant laparoscopic hiatal hernia repair and cholecystectomy is a safe and feasible option for patients with indication of surgery for both pathologies.

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“…Laparoscopic surgery is the golden standard for both hiatal hernia repair and cholecystectomy and offers fast recovery time with less operative time and is both safe and effective (1). Type I hiatal hernias with impact on quality of life and refractive to medication, type II, III and IV symptomatic hiatal hernia have indication for surgery (2).…”

mentioning

confidence: 99%

Concomitant laparoscopic hiatal hernia repair with cholecystectomy: a multicentric study

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2021

MSJ

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Laparoscopic hernioplasty of hiatal hernia

Cited by 9 publications

References 10 publications

Reversal of unstable atrial fibrillation after surgical correction of hiatus hernia: A case report

Reversal of unstable atrial fibrillation after surgical correction of hiatus hernia: A case report

Concomitant Laparoscopic Hiatal Hernia Repair with Cholecystectomy: A Multicentric Study

Concomitant laparoscopic hiatal hernia repair with cholecystectomy: a multicentric study

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