Surgical treatment of types I–IV hiatal hernias

The surgical treatment of paraesophageal hernias.

Paraesophageal hernias account for about 5 to 10% of all hiatal hernias. The surgical approach to these hernias has radically changed over the last 15 years, as mostly patients who are symptomatic are operated on nowadays, and preferably by a laparoscopic approach rather than by laparotomy or thoracotomy. We reviewed the surgical repair of paraesophageal hernias, focusing particularly on the op...

Laparoscopic repair of hiatal hernias: experience after 200 consecutive cases.

INTRODUCTION Repair of hiatal hernias has been performed traditionally via open laparotomy or thoracotomy. Since first laparoscopic hiatal hernia repair in 1992, this method had a growing popularity and today it is the standard approach in experienced centers specialized for minimally invasive surgery. OBJECTIVE In the current study we present our experience after 200 consecutive laparoscopic...

Hernias of the Diaphragm: Traumatic, Pericardioiperitoneal, and Hiatal

Surgical treatment of hiatal hernia: a 10-year survey.

or communicated with. Fifty-one per cent had had a previous abdominal operation. It is concluded that oesophagoscopy is essential to confirm the diagnosis and exclude the presence of oesophagitis, stricture, or neoplasm before beginning any treatment, be it medical or surgical. Anti-obesity measures are advisable before operative treatment. A left transthoracic, Allison type of repair gives exc...

Effects of large hiatal hernias on esophageal peristalsis.

HYPOTHESIS Anatomic changes induced by large hiatal hernia may alter esophageal pressure topography measurements made during high-resolution manometry. DESIGN Retrospective study. SETTING Single-institution tertiary hospital. PATIENTS Ninety patients with large (>5 cm) hiatal hernias on endoscopy were compared with a control group of 46 patients without hernia selected from the same datab...