The widespread use of meshes for hiatal hernia repair has emerged in the era of laparoscopic surgery, although sporadic cases of mesh augmentation of traumatic diaphragmatic rupture have been reported. The indications for biologic meshes in diaphragmatic repair are ill defined. This systematic review aims to investigate the available evidence on the role of biologic meshes in diaphragmatic rupt...

BACKGROUND Hiatal hernias are common. In some reports, hiatal hernias have been implicated in causing dyspnea, syncope, and heart failure. CASE PRESENTATION An 82-year-old woman with a hiatal hernia was admitted to our hospital because she had experienced postprandial syncope during the last few years. Esophagogastroduodenoscopy revealed a large hiatal hernia and a pedunculated polyp of the s...

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...

BACKGROUND/AIMS Glycogenic acanthosis is described as benign thickening of the esophageal squamous epithelium of unknown etiology. Although its etiology is unknown, it has been reported that glycogenic acanthosis may be related to gastroesophageal reflux and hiatal hernia. The aim of the present study was to review the patients who were diagnosed with glycogenic acanthosis on upper gastrointest...

INTRODUCTION A non-cross-linked porcine acellular dermal matrix was used to reinforce an esophageal hiatal hernia repair. A second surgery was required 11 months later to repair a slipped Nissen; this allowed for examination of the hiatal hernia repair and showed the graft to be well vascularized and fully incorporated. CASE PRESENTATION A 71-year-old Caucasian woman presented with substernal...

INTRODUCTION Laparoscopic Nissen operation with mesh reinforcement remains being the most popular operation for large hiatal hernia repair. Complications related to mesh placement have been widely described. Cardiac complications are rare, but have a fatal outcome if they are misdiagnosed. PRESENTATION OF CASES We sought to outline our institutional experience of three patients who developed ...

Objective Large hiatal hernias are more common in older patients and they are more likely to be female. In addition, the patients who underwent operation for large hiatal hernia are on average 20 years older than patients without hiatal hernias treated for elective antireflux surgery. The laparoscopic surgery rapidly became the more acceptable approach for gastrooesophageal reflux disease and r...

VV Gastroesophageal reflux disease (GERD) results from the failure of the lower esophageal sphincter to keep acid and other fluids in the stomach. This incompetency is commonly caused by the presence of a hiatal hernia, although a person can have pathologic reflux without a hiatal hernia and, conversely, can have no pathologic reflux even in the presence of a hiatal hernia. Most reflux is actua...

introduction the popularity of sleeve gastrectomy, as a treatment for morbid obesity, has increased recently due to its safety and relatively technical simplicity. sleeve gastrectomy, however, is not free of complications and due to the increased number of cases performed with this method, new postoperative complications would be expected to be experienced. few cases of gastric volvulus are rep...

AIM Laparoscopic Nissen fundoplication represents the gold standard in GERD therapy, although, a frequent failure of this primary repair is represented by the breakdown of the hiatoplasty. Aim of our work is to evaluate if ultrastructural alterations of the diaphragmatic pillars in patients with hiatal hernia, can explain the physiopathology of hernia recurrence. MATERIAL OF STUDY The patient...