A 72-year-old male was admitted because of dysphagia for solids and liquids. He had undergone a laparoscopic Nissen fundoplication due to erosive esophagitis and hiatal hernia. Three years later, due to symptomatic recurrence of the hernia, surgery with placement of a polypropylene mesh was indicated. After four years he developed epigastric pain and dysphagia for liquids. Gastroduodenoscopy sh...

Laparoscopic Nissen fundoplication is known to be a safe and feasible method in the treatment of hiatal hernias. However, recurrence rate 42% has been reported. Using mesh repair patients undergoing shown fewer rates than primary suture, even though there have few complications Some that may occur with placement are; severe fibrosis, esophageal strictures, perforations, migration upper gastroin...

The aim of this meta-analysis was to compare clinical outcome following laparoscopic and robotic Nissen fundoplication. A systematic literature search of Medline, Embase and Cochrane Library databases was performed. Primary outcome measures were the requirement for re-operation, postoperative mortality and postoperative dysphagia. Secondary outcome measures were operative time, length of hospit...

Background: Surgical treatment of GERD by Nissen fundoplication is effective and safe, providing good results in the control of the disease. However, some authors have questioned the efficacy of this procedure and few studies on the long-term outcomes are available in the literature, especially in Brazil. Aim: To evaluate patients operated for gastro-esophageal reflux disease, for at least 10...

A 41-year-old man presented to the emergency department with substernal chest pain and was found to have ST elevations in the inferior leads on his electrocardiogram. An emergent cardiac catheterization did not identify significant coronary narrowing. Computed tomography of the thorax demonstrated a pneumopericardium and a hiatal hernia. The patient had a complicated past surgical history, incl...

The generally accepted gold standard in the surgical treatment of hiatal hernias is laparoscopic fundoplication with cruroplasty. At same time, problem choosing best method to improve results intervention remains disputable. Aim. Determination effectiveness antireflux interventions and frequency postoperative dysphagia patients esophageal hernia. Materials methods. 38 early late period, operate...