Abstract
Paraesophageal hernia is an unusual disorder of the esophageal hiatus that may be associated with life-threatening mechanical problems. We report a case of a large paraesophageal hernia that presented with acute thoracic herniation and incarceration of the stomach. The patient underwent laparoscopic operation, including reduction of an intrathoracic stomach, hernial sac removal, and tension-free repair of the hiatus with polytetrafluoroethylene (PTFE) mesh. The mesh was fixed with a straight hernia stapler. Postoperatively the patient developed a fatal cardiac tamponade secondary to a coronary vein laceration due to fixation of the mesh with the stapler. Different operative techniques and possibilities for prevention of the complication are discussed.
TY - JOUR
T1 - Fatal cardiac tamponade after emergency tension-free repair of a large paraesophageal hernia.
AU - Kemppainen,E,
AU - Kiviluoto,T,
Y1 - 2000/05/08/
PY - 1999/07/02/received
PY - 1999/07/12/accepted
PY - 2001/3/27/pubmed
PY - 2002/1/22/medline
PY - 2001/3/27/entrez
SP - 593
EP - 593
JF - Surgical endoscopy
JO - Surg Endosc
VL - 14
IS - 6
N2 - Paraesophageal hernia is an unusual disorder of the esophageal hiatus that may be associated with life-threatening mechanical problems. We report a case of a large paraesophageal hernia that presented with acute thoracic herniation and incarceration of the stomach. The patient underwent laparoscopic operation, including reduction of an intrathoracic stomach, hernial sac removal, and tension-free repair of the hiatus with polytetrafluoroethylene (PTFE) mesh. The mesh was fixed with a straight hernia stapler. Postoperatively the patient developed a fatal cardiac tamponade secondary to a coronary vein laceration due to fixation of the mesh with the stapler. Different operative techniques and possibilities for prevention of the complication are discussed.
SN - 0930-2794
UR - https://www.unboundmedicine.com/medline/citation/11265062/Fatal_cardiac_tamponade_after_emergency_tension_free_repair_of_a_large_paraesophageal_hernia_
L2 - https://doi.org/10.1007/s004640000138
DB - PRIME
DP - Unbound Medicine
ER -