Simultaneous laparoscopic paraesophageal hernia repair and sleeve gastrectomy in the morbidly obese

Pham, David V.; Protyniak, Bogdan; Binenbaum, Steven J.; Squillaro, Anthony; Borao, Frank J.

doi:10.1016/j.soard.2013.08.003

Cited by 27 publications

(11 citation statements)

References 17 publications

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“…An aggressive policy of hiatal area exploration during LSG is advocated by several authors [1,30,31]. The intraoperative diagnosis of hiatus hernia/ hiatus defect reaches 35 % of cases [1].…”

Section: Hiatus Hernia Repair During Laparoscopic Sleeve Gastrectomymentioning

confidence: 99%

“…On the other hand, polytetrafluoroethylene (PTFE) and PTFE composites induce minimal tissue reactions but are opaque and it is difficult to achieve an accurate/adequate fixation. To reduce the risk of erosion, other materials have been tested as follows: ligamentum teres, acellular dermal matrix biodegradable patch, small intestine submucosa, and synthetic bioabsorbable mesh [31,37,38]. The recent meta-analysis of Antoniou et al show that mesh-reinforced HHR in normal weight population is associated with a fourfold decreased risk for anatomic recurrence compared with simple crural closure, without advice of the best type of mesh to be used [39].…”

Section: Mesh Reinforcement Of Hh Repairmentioning

confidence: 99%

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Gastroesophageal Reflux Disease and Sleeve Gastrectomy

et al. 2015

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Gastroesophageal reflux disease (GERD) and/or hiatus hernia (HH) are one of the most common disorders of the upper gastrointestinal tract. Despite the positive effect of sleeve gastrectomy (SG) regarding weight loss and improvement in obesity co-morbidities, there are concerns about the development of de novo gastroesophageal reflux disease or worsening the existing GERD after this bariatric operation. Furthermore, controversy exists on the consequences of SG in lower esophageal sphincter function and about the ideal procedure when a hiatus hernia is preoperatively diagnosed or discovered during the laparoscopic SG. This review systematically investigates the incidence, the pathophysiology of GERD and/or HH in morbidly obese individuals before and after SG, and the treatment options for concomitant HH repair during laparoscopic sleeve gastrectomy.

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Section: Hiatus Hernia Repair During Laparoscopic Sleeve Gastrectomymentioning

confidence: 99%

Section: Mesh Reinforcement Of Hh Repairmentioning

confidence: 99%

Gastroesophageal Reflux Disease and Sleeve Gastrectomy

et al. 2015

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“…Лечение начинается с поведенческой и консервативной терапии -уменьшения физической нагрузки, рационального режима питания и диеты, фармакотерапии ингибиторами протонной помпы, Н2-блокаторами гистаминовых рецепторов, прокинетиками. Исход консервативного лечения зависит от многих факторов -возраста пациента, наличия сопутствующей патологии, степени тяжести патологического процесса и т. п. Поэтому эффективность консервативного лечения, по данным литературы, находится в диапазоне 23-75% [12]. При отсутствии эффективности консервативной терапии пациентам с ГПОД рекомендуется хирургическое лечение.…”

Section: Discussionunclassified

Experience in treatment of diaphragm hernias

Зубарев

Николаевич²,

Khokhlov

et al. 2020

Russian Military Medical Academy Reports

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Hernias of the diaphragm are a common pathology that negatively affects the quality of life of patients and in some cases requires high-quality surgical correction. This pathology has a progressive course, which leads to an increase in the severity of clinical manifestations with the age of the patient. The article presents the experience of surgical treatment of hernias of the diaphragm on the basis of general surgery clinics of the military medical academy. The aim of the study is to determine the effectiveness of surgical treatment of hernias of the diaphragm in different categories of patients. The total number of treated patients was 216. All patients were operated on. Thirty-four patients underwent a sympultal laparoscopic cholecystectomy. The operation used laparoscopic access. The closest excellent and good results of clinical treatment occurred in 92% of cases, satisfactory and unsatisfactory results accounted for 5.4 and 2.7%, respectively. According to the results of the instrumental survey, 40.6 and 54%, respectively, achieved excellent and good results; Satisfactory and unsatisfactory 2.7 and 2.7%. The introduction of laparoscopic techniques in surgery has reduced the number of early and late post-operative complications in the treatment of hernias of the diaphragm. The recommendations of the American Association of Endoscopic Surgeons for the operational treatment of gastroesophageal reflux disease shows the positive effect of laparoscopic fundoplications in 8593% of patients whose medicinal therapy has proved ineffective. In general, the results of the immediate and long-term outcomes of the surgical treatment of hernias of the diaphragm at the General Surgery Clinic of Military Medical Academy showed similar results (8 figs, bibliography: 16 refs).

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“…Morgenthal et al 28 demonstrated that patients with morbid obesity (BMI >35) were more likely to experience treatment failure after laparoscopic Nissen fundoplication, although their series did not include patients with PEH. Other authors 29,30 have shown differing results, and more surgeons currently are offering morbidly obese patients concurrent bariatric surgery (sleeve gastrectomy or Roux-en-Y gastric bypass) at the time of PEH repair. The proponents of this approach 31 imply that the weight reduction that accompanies bariatric surgery will lower the recurrence rate of PEH in these patients in addition to providing the benefit that inheres as a result of the well-documented improvement of obesity-related comorbidities.…”

Section: Discussionmentioning

confidence: 99%