surgical repair of giant type iv hiatal hernia

Surgical Repair of Giant Type IV Hiatal Hernia

In this case report, we described a 74-year-old female patient with major complaint of respiratory problemsdyspnea after meal. Chest X-ray of the patient revealed a  gianttype IV hiatal hernia. Preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and CT-scan. Repair of the hernia was performed using a dual mesh on the diaphragm and partial anteri...

Bowel in Chest: Type IV Hiatal Hernia.

doi:10.3121/cmr.2016.1332 A man, age 81 years, presented with frequent nausea and non-bloody vomiting for the past week, and a 3-day history of worsening epigastric abdominal pain with no flatus or bowel movements. He was tachycardic (120 bpm) and hypotensive (86/40 mm Hg). Upper abdomen was profoundly tender and distended. Laboratory results were significant for leukocytosis (20 x 103/uL; norm...

Robotic repair of congenital paraesophageal hiatal hernia.

Congenital paraesophageal hiatal hernias are rare and can be associated with gastric incarceration, volvulus,mucosal ulceration, and anemia. Primary repair of the hernia and fundoplication are recommended. In this paper,we report a case of a 3-year-old child with abdominal pain who was noted to have a paraesophageal hiatal hernia with partial gastric volvulus. A 5 mm robot platform was utilized...

Biologic Keyhole Mesh in Hiatal Hernia Repair

Background and Objectives Laparoscopic paraesophageal hernia repair (LPEHR) is the new standard, but the use of mesh is still debated. Biologic mesh has shown great promise, but only the U-shaped onlay has been extensively studied. Postoperative dysphagia has historically been a concern with the use of synthetic keyhole mesh and subsequently slowed its adoption. The purpose of our study was to ...

Robot-assisted laparoscopic large hiatal hernia repair

Open versus Laparoscopic Hiatal Hernia Repair

BACKGROUND The literature reports the efficacy of the laparoscopic approach to paraesophageal hiatal hernia repair. However, its adoption as the preferred surgical approach and the risks associated with paraesophageal hiatal hernia repair have not been reviewed in a large database. METHOD The Nationwide Inpatient Sample dataset was queried from 1998 to 2005 for patients who underwent repair o...