Large paraesophageal hernia in elderly patients: Two case reports of laparoscopic posterior cruroplasty and anterior gastropexy
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چکیده
منابع مشابه
Laparoscopic Paraesophageal Hernia Repair with Acellular Dermal Matrix Cruroplasty
BACKGROUND Laparoscopic paraesophageal hernia repair (LPEHR) has been shown to be both safe and efficacious. Compulsory operative steps include reduction of the stomach from the mediastinum, resection of the mediastinal hernia sac, ensuring an appropriate intraabdominal esophageal length, and crural closure. The use of mesh materials in the repair of hiatal hernias remains controversial. Synthe...
متن کاملObstructed paraesophageal hernia in a nonagenerian treated by laparoscopic anterior gastropexy.
Paraesophageal hernias have been historically associated with risk of substantial morbidity and mortality. We report a case of a 92 year old lady with acute gastric outlet obstruction due to a chronic paraesophageal hernia that was successfully treated by minimal invasive surgery. Anterior gastropexy was performed after the stomach was reduced. The hiatal opening was enlarged to reduce the risk...
متن کاملLaparoscopic anterior gastropexy for type III/IV hiatal hernia in elderly patients
INTRODUCTION Large esophageal hiatal hernias occur most commonly in elderly patients with comorbidities, in whom even an elective surgery cannot be performed without high risks. Although fundoplication is recommended for esophageal hiatal hernia repair, we prefer not to limit our options to fundoplication, as obstruction is a frequent main complaint. We favor an anterior gastropexy approach ins...
متن کاملLaparoscopic Paraesophageal Hernia Repair
BACKGROUND AND OBJECTIVE Paraesophageal hernias are uncommon yet potentially lethal conditions. Their repair has now been facilitated by laparoscopic technology. We present a series of 20 patients with paraesophageal hernias repaired laparoscopically. METHODS Twenty patients with paraesophageal hernias had laparoscopic repairs. Eighteen patients had primary repair of their hiatal defect. Two ...
متن کاملParaesophageal hiatal hernia. Open vs. laparoscopic surgery.
BACKGROUND paraesophageal hiatal hernia represents 5-10% of hiatal hernias. Its importance is based on the severe complications it may have, including gastric volvulus, and surgical treatment is recommended when a diagnosis is established. MATERIAL AND METHODS a retrospective study of all patients who underwent surgery for paresophageal hernia between 1985 and 2007. RESULTS we studied 90 ca...
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ژورنال
عنوان ژورنال: International Journal of Surgery Case Reports
سال: 2019
ISSN: 2210-2612
DOI: 10.1016/j.ijscr.2019.10.047