Laparoscopic repair of giant hiatal hernia. A single center experience

Prassas, Dimitrios; Rolfs, Thomas-Marten; Schumacher, Franz-Josef

doi:10.1016/j.ijsu.2015.06.067

Cited by 11 publications

(12 citation statements)

References 16 publications

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“…The laparoscopic repair of large diaphragmatic hernia is a relatively safe method with significant long-term efficacy in terms of symptom control and quality of life [7]. Our patient may be the first diaphragmatic hernia associated symptoms of CAD and responded well to treatment.…”

Section: Discussionmentioning

confidence: 72%

Long-Term Cardiovascular Symptoms in a Patient with a Large Diaphragmatic Hernia

Li¹,

Han²,

Ji³

et al. 2017

Surgery Curr Res

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Section: Discussionmentioning

confidence: 72%

Long-Term Cardiovascular Symptoms in a Patient with a Large Diaphragmatic Hernia

Li¹,

Han²,

Ji³

et al. 2017

Surgery Curr Res

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“…LARS for paraesophageal hiatal hernias is a challenging procedure 21,22 , with most patients being older individuals with a higher risk of postoperative complications 11,23,24 . Accordingly, LARS for these patients is associated with higher mortality and morbidity rates than LARS for non-elderly GERD patients 23,25 .…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Outcomes of Laparoscopic Surgery in Patients with Gastroesophageal Reflux and Related Disease: A Single Center Experience

et al. 2017

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Background: Laparoscopic anti-reflux surgery (LARS) is generally the treatment of choice for patients with gastroesophageal reflux disease (GERD). This report describes our experiences in performing LARS on patients with GERD, and focuses retrospectively on the pathophysiology of individual patients and the current status of Japanese patients who have undergone LARS. We demonstrate that patients with non-erosive reflux disease resistant to proton pump inhibitors (PPI-resistant NERD) and high-risk giant hernia, whom we are sometimes hesitant to treat surgically, can be safely and successfully treated with LARS (depending on the pathophysiology of individual patients).

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“…Type III is a combination of the II and III. Type IV refers to a large defect in the paraesophageal membrane which allows herniation of stomach or other intraabdominal components, this is the less frequent and the one associated with severe complications like in the presented case [1].…”

Section: Introductionmentioning

confidence: 88%

“…Hiatal hernia is a very frequent disease presented in the general population with an incidence of 20%, but this number is very variable according to different publications by the wide range of symptoms or the asymptomatic stage of many patients [1].…”

Section: Introductionmentioning

confidence: 99%

Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report

Angel¹

2015

Arch Clin Gastroenterol

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Between the hiatal hernias, the type IV is the less frequent by the great defect, but this type had a high incidence of incarceration (5%), and a mortality rate up to 27%. Case:A female patient of 80 years-old was referred to our hospital by septic shock and abdominal pain. At physical exam she refers abdominal and thoracic pain, dyspnea and occasional threw up for the last 2 days, with a background of this symptoms the last 5 years, and gastroesophageal refl ux symptoms for 10 years. At admission, she referred epigastric and retrosternal pain, dyspnea, with an 02 of 75%, bowel sounds in left hemithorax, mean arterial pressure of 50mmHg with the use of norepinephrine. Laboratories do not reveal sepsis and CT scan reports a hiatal hernia of 9 cm with left hemithorax occupied by stomach, colon, and spleen. A cardiogenic shock by compression was suspected with this data and a laparotomy was scheduled. CT scan report was confi rmed and the mentioned organs were reduced to abdomen without problems, both diaphragmatic pillars were sutured and a Nissen fundoplication completed. After 6 hours' norepinephrine was suspended and 48 hours after the patient were discharged uneventfully. Conclusion:Giant hiatal hernia must be suspected in patients with chronic abdominal and thoracic pain with refl ux symptoms because the complications associated with this disease could have a mortality near 30% in case of strangulation and a scheduled surgery could be very safe in the correct moment.

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Laparoscopic repair of giant hiatal hernia. A single center experience

Abstract: The laparoscopic approach for repair of large hiatal hernias is a relatively safe method with significant long-term efficacy in terms of symptom control and quality of life.

Cited by 11 publications

References 16 publications

Long-Term Cardiovascular Symptoms in a Patient with a Large Diaphragmatic Hernia

Long-Term Cardiovascular Symptoms in a Patient with a Large Diaphragmatic Hernia

Characteristics and Outcomes of Laparoscopic Surgery in Patients with Gastroesophageal Reflux and Related Disease: A Single Center Experience

Incarcerated Giant Hiatal Hernia conditioning hearth shock: case report

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