Simple laparoscopic gastropexy as the initial treatment of paraoesophageal hiatal hernia

The British Journal of Surgery
A O AgwunobiS E Attwood

Abstract

Paraoesophageal hiatal hernia is relatively rare compared with sliding hernia but it is associated with serious complications. Its clinical management presents a major challenge since many patients are elderly and unfit for a formal repair. This paper describes a laparoscopic method aimed at reducing the complications of open repair. Thirteen patients treated for symptomatic paraoesophageal hernia were included in the study. Eleven patients successfully underwent a simple laparoscopic modification of the Boerema anterior gastropexy. Two patients required an open anterior gastropexy through a minilaparotomy because of incomplete reduction of the hernia. A five-puncture technique was used. The stomach and any other contents of the sac were reduced into the abdomen and the stomach was firmly fixed to the fascia of the anterior abdominal wall with GORE-TEX sutures tied extracorporeally. There was one postoperative death due to spontaneous intrathoracic perforation of the posterior aspect of the stomach in an elderly woman with severe cardiac disease. There was no postoperative morbidity. Eight of the ten patients who went home following laparoscopic gastropexy have remained asymptomatic on follow-up. In three patients, two in the l...Continue Reading

References

Apr 1, 1986·Archives of Surgery·F H EllisJ A Shea
Aug 1, 1973·American Journal of Surgery·L D Hill
Jan 1, 1984·American Journal of Surgery·B WaltherD B Skinner
Jun 1, 1995·Archives of Surgery·D E PitcherK A Zucker
Aug 1, 1994·Surgical Endoscopy·D W Cloyd
Sep 1, 1993·The Annals of Thoracic Surgery·W A WilliamsonD M Shahian

❮ Previous
Next ❯

Citations

Jan 5, 2006·Langenbeck's Archives of Surgery·Jacob RosenbergAnders Fischer
Sep 11, 2013·Surgical Endoscopy·Geoffrey Paul KohnUNKNOWN SAGES Guidelines Committee
Oct 7, 2006·Current Opinion in Gastroenterology·R C MoesingerJ W Harmon
Sep 11, 2002·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·F A M HerbellaR Colleoni
Jun 7, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·K K YauM K Li
Jan 5, 2002·American Journal of Surgery·K W KercherB T Heniford
Oct 9, 2014·Surgical Endoscopy·Christopher R DaigleTeodor P Grantcharov
Oct 7, 2008·International Journal of Surgery·Munir A RathoreArthur H McMurray

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.