Paraesophageal hiatal hernia: Open vs. laparoscopic surgery

Tabernilla, María Díez; Ruíz-Tóvar, Jaime; Marino, Raquel Grajal; García, Purificación Calero; Hernández, J. Domínguez; Vaisman, A. Chames; Castiñeiras, Vicente Morales; Dehesa, A. Sanjuanbenito; Molina, E. Martínez; Moreno, Virgilio Fresneda

doi:10.4321/s1130-01082009001000005

Cited by 9 publications

(5 citation statements)

References 8 publications

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“…This is comparable with the complication rate with the laparoscopic approach that is reported in the literature (between 6% and >20%). 26,27 In addition, our series reported a mean surgical time of 184.5 minutes; this is similar to that reported by Gehrig et al 23 in their robotic experience (172 minutes). Moreover, our surgical time compared with laparoscopic surgery was similar to some large series.…”

Section: Discussionsupporting

confidence: 88%

Robotic Repair of Giant Paraesophageal Hernias

Seetharamaiah

Romero

Kosanovic

et al. 2013

JSLS

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Section: Discussionsupporting

confidence: 88%

Robotic Repair of Giant Paraesophageal Hernias

Seetharamaiah

Romero

Kosanovic

et al. 2013

JSLS

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“…A recidiva da HH esteve presente em 7 (7,14%) pacientes estudados, resultado semelhante ao encontrado em pesquisas realizadas nos EUA e em Madrid, em que os pacientes reoperados predominaram em somente 2% e 5%, respectivamente 12,21 . O resultado deste trabalho vêm corroborar os apontamentos da literatura pesquisada, a qual mostra que a HH tem baixa reincidência.…”

Section: Resultsunclassified

Hiatal hernia: social, pathological and surgical profile patients who underwent surgery

Faria

Santos

et al. 2011

Rev enferm UFPE on line.

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Objective: to identify the social, pathological and surgical profile of the patients who underwent surgery for a hiatal hernia (HH) at a hospital in Taubaté-SP city. Method: this is a retrospective, documentary, and descriptive research, from quantitative approach, carried out from 2002 to 2009. The collection began after approval by the Ethics Committee of the University of Taubaté-SP, protocol number 024/2010. Results: the dominant age group was 40-59 years in 63 (65,63%), and the mean age was 50.19 years, females prevailed in 54 (56,25%); caucasian, in 81 (84,38%); housewives prevailed in 29 (30,21%); HH sliding appeared in 47 (48,95%) patients, pain was the most common symptom in 71 (21,45%), upper gastrointestinal endoscopy (EDA) was performed in 86 (61,43%), the most frequent surgeries in 87 (90.63%) were hiatoplastia and fundoplication, general anesthesia was predominant in 92 (95.83%), hospitalization time, three days in 38 (39,58%). Conclusion: we concluded that the profile of patients with HH is predominantly mature adult women up to 59 years old, white, with sliding Hiatal hernia, and surgery, and fundoplication hiatoplastia with hospital stay of three days. Descriptors: nursing; surgery; diagnostics.RESUMOObjetivo: identificar o perfil social, patológico e cirúrgico dos pacientes que se submeteram à cirurgia de hérnia de hiato (HH) em um hospital da cidade de Taubaté-SP. Método: pesquisa retrospectiva, documental e descritiva, com abordagem quantitativa, realizada de 2002 a 2009. A coleta teve início após aprovação do Comitê de Ética da Universidade de Taubaté-SP, protocolo nº 024/2010. Resultados: a faixa etária dominante foi de 40-59 anos, em 63 (65,63%), e a média de idade, foi de 50,19 anos; o gênero feminino prevaleceu em 54 (56,25%); etnia branca, em 81 (84,38%); ocupação do lar prevaleceu em 29 (30,21%); a HH por deslizamento apareceu em 47 (48,95%) dos pacientes; dor foi o sintoma mais comum, em 71 (21,45%); a endoscopia digestiva alta (EDA) foi realizada em 86 (61,43%); as cirurgias de maior ocorrência, em 87 (90,63%), foram hiatoplastia e fundoplicatura; anestesia predominante foi a geral, em 92 (95,83%); tempo de internação, três dias, em 38 (39,58%). Conclusão: conclui-se que o perfil dos pacientes com HH predominante é o de mulheres adultas maduras com até 59 anos de idade, brancas, com hérnia hiatal por deslizamento, e as cirurgias, hiatoplastia e fundoplicatura, com período de internação de três dias. Descritores: enfermagem; cirurgia; diagnóstico.RESUMENObjetivo: identificar el perfil social, patológico y cirúrgico de los pacientes que se submeteron a la cirurgia de hernia de hiato (HH) en un hospital de la ciudad de Taubaté-SP. Método: investigación retrospectiva, documental y descritiva, con abordaje cuantitativo, realizada de 2002 a 2009. La cocecha tuvo inicio después de la aprovación del Comité de Ética de la Universidad de Taubaté-SP, protocolo nº 024/2010. Resultados: la edad dominante fue de 40-59 años, en 63 (65,63%), y la media de edad, fue de 50,19 años; el género femenino prevaleció en 54 (56,25%); etnia blanca, en 81 (84,38%); ocupación del lar prevaleció en 29 (30,21%); la HH por deslizamiento apareció en 47 (48,95%) de los pacientes; dolor fue el síntoma más común, en 71 (21,45%); la endoscopía digestiva alta (EDA) fue realizada en 86 (61,43%); las cirurgias de mayor ocurrencia, en 87 (90,63%), fueron hiatoplastía y fundoplicatura; anestesia predominante fue la geral, en 92 (95,83%); tiempo de internación, tres días, en 38 (39,58%). Conclusión: se concluye que el perfil de los pacientes con HH predominante el el de mujeres adultas maduras con hasta 59 años de edad, blancas, con hernia hiatal por deslizamiento, y las cirurgias, hiatoplastía y fundoplicatura, con período de internación de tres días. Descritores: enfermería; cirugía; diagnóstico.

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“…Cerrahi tamir hedefleri semptomları geçir-mek, cerrahi işlemle ilgili morbidite ve mortaliteyi düşürmek, bakım maliyetini azaltmak ve tekrarlama olasılığını azaltmaktır. Ancak uygulanacak cerrahi tedavinin şekli konusunda tartışmalar olmaktadır (13)(14)(15)(16). Torakotomiyi daha morbit bulup batından yaklaşımı tercih edenler olduğu gibi, periözofajit gibi ortaya çıkabilecek iltihabi sorunlardan ötürü yoğun plevral yapışıklıklara hakim olabilmek için torakstan yaklaşımı uygun bulanlar da vardır.…”

Section: Cerrahi Tekniklerunclassified

“…Sliding tip hernilerde laparaskopik Nissen işleminin de eklenmesiyle hiatustaki gevşeklik onarılmakta ve antireflü işlemi ile hastaların önemli bir yakınması olan reflü de giderilmektedir. Bu işlemde başarı oranı %85-95 civarlarındadır (13)(14)(15). Antireflü işlemlerin güvenilirliği ve komplikasyon oranları değişkenlik göstermektedir (15,16).…”

Section: Cerrahi Tekniklerunclassified

Paraesophageal Hiatal Hernias

Sayır¹

2011

Toraks Cer Bult

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ÖzetDiyafragma, solunumun en önemli kasıdır. Hiatus hernisi, diyafragmanın özofagial hiatustaki anatomik zayıflık ya da defekt nedeniyle intraabdominal organların toraksa çıkışı olarak tanımlanabilir. Hiatal herniler iki kategoriye ayrılır: sliding ve paraözofagial. Paraözofagial hernide gastroö-zofagial bileşke yerindedir fakat midenin bir kısmı ve veya diğer intestinal yapılar özofagusun yanından toraksa fıtıkla-şır. İnkarserasyon, strangülasyon bu tip hernide gelişebilir. Karın ağrısı, sindirim bozukluğu, kusma, ani şiddetli ağrı, yutma güçlüğü, bulantı gibi semptomlar görülebilir. Tanıda gastrointestinal sistem tanı metotları, endoskopi, manometri ve diğer tanı metotlarından faydalanılır. Eğer hiatal herni semptomatikse veya strangülasyon ve inkarserasyon söz konusuysa herni, torakotomi, laparatomi ya da laparoskopi girişimlerinden biri kullanılarak redükte edilmelidir. Anahtar kelimeler: Paraözofagial herni, cerrahi AbstractThe diaphragm is the most important respiratory muscle. Hiatus hernia can be defined as upward displacement of intraabdominal organs into the thorax due to an anatomic weakness or a defect with esophageal hiatus. There are two categories of hiatal hernias, sliding and paraesophageal. In paraesophageal hernias, the gastro-esophageal junction remains in place, but some part of the stomach and/or other intestinal organs are herniated into the chest. Incarceration and strangulation may occur in this type of hernia. Stomach pain, indigestion, difficulty in swallowing, nausea, vomiting and sudden severe chest pain are the symptoms. Upper gastrointestinal investigation such as endoscopy, manometry and other diagnostic procedures are helpful for the diagnosis. If the hiatus hernia is symptomatic or there is strangulation or incarceration, the hernia should be reduced by surgery via laparotomy, thoracotomy or laparoscopic approaches.

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Paraesophageal hiatal hernia: Open vs. laparoscopic surgery

Cited by 9 publications

References 8 publications

Robotic Repair of Giant Paraesophageal Hernias

Robotic Repair of Giant Paraesophageal Hernias

Hiatal hernia: social, pathological and surgical profile patients who underwent surgery

Paraesophageal Hiatal Hernias

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