Ten Reasons for Laparoendoscopic Repair of Hiatal Hernia: Case Presentation With Long-Term Follow-Up

The American Surgeon
Medhat Fanous

Abstract

Laparoendoscopic hiatal hernia repair (LEHHR) involves laparoscopic repair of hiatal hernia with concomitant transoral incisionless fundoplication (TIF). The objective of this case presentation is to highlight the benefits of LEHHR in a patient with long term follow up. This patient is a 56-year-old woman with symptoms of gastroesophageal reflux disease for 40 years. Esophagogastroduodenoscopy (EGD) showed a 2 cm hiatal hernia. DeMeester score was 21.3. She underwent LEHHR 33 months ago. The patient underwent laparoscopic cholecystectomy for symptomatic biliary dyskinesia. This provided the opportunity to examine the operative anatomy. There were minimal adhesions to the liver. The partial fundoplication was intact. The angle of His was preserved. The fundus was spared from any adhesions as TIF utilizes the cardia rather than the fundus to create the wrap. The plane behind the stomach was undisturbed. LEHHR has 10 main benefits. Anatomical benefits result from the preservation of the angle of His. Functional benefits relate to a partial fundoplication which normalizes pH values. LEHHR avoids bleeding from short gastric vessels and the creation of a wrap when anatomical obstacles present. Strategic benefits are directed toward a...Continue Reading

References

Jan 25, 2019·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Glenn Michael IhdeSteve Brewer
Apr 19, 2019·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Medhat Y Fanous

❮ Previous
Next ❯

Citations

Jun 29, 2021·The American Surgeon·Medhat Y FanousSarah Williams

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

LEHHR

Related Concepts

Related Feeds

Adhesion Molecules in Health and Disease

Cell adhesion molecules are a subset of cell adhesion proteins located on the cell surface involved in binding with other cells or with the extracellular matrix in the process called cell adhesion. In essence, cell adhesion molecules help cells stick to each other and to their surroundings. Cell adhesion is a crucial component in maintaining tissue structure and function. Discover the latest research on adhesion molecule and their role in health and disease here.

© 2021 Meta ULC. All rights reserved