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[Our experiences during laparoscopic giant paraesophageal hernia repair (1993-2004)].
Magy Seb. 2005 Apr; 58(2):100-5.MS

Abstract

INTRODUCTION

Following both open and laparoscopic surgery for large hiatus hernias the recurrence rate is high. During the last decade we found that the correct indication and operation technique at primary operation should be prophylactic against recurrent hiatus hernia and postoperative dysphagia.

MATERIAL AND METHOD

Between 1993 and 2004 more than 350 antireflux procedures were performed in our department. In 35 patients direct crural reconstructions and onlay-mesh implantation was necessary because of extremely large hiatus hernias. The onlay-mesh implantation and tension-free hiatus reconstruction beside correct calibration of the lower esophageal sphincter (LES) decreases the chance of recurrence and postoperative dysphagia.

RESULTS

In the early period there were five recurrent hernias due to crural reconstruction with absorbable sutures, weak intracorporally knotted crural sutures and extremely large hiatus hernia. During laparoscopic reoperations reconstructions with onlay mesh implantation were performed successfully.

CONCLUSION

The mesh implantation with correct indication and intraoperatively calibrated wrap decrease recurrence and postoperative dysphagia. Laparoscopic reoperation is a safe procedure with good results in trained hands.

Authors+Show Affiliations

Hajdú-Bihar Megyei Onkormányzat Kenézy Gyula Kórház-Rendelointézet, a Debreceni Egyetem Orvos- és Egészségtudományi Centrum Oktató Kórhaza, Altalános Sebészeti Osztály, Debrecen.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

hun

PubMed ID

16018276

Citation

Hajdu, Zoltán, et al. "[Our Experiences During Laparoscopic Giant Paraesophageal Hernia Repair (1993-2004)]." Magyar Sebeszet, vol. 58, no. 2, 2005, pp. 100-5.
Hajdu Z, Bodnár Z, Tóth D. [Our experiences during laparoscopic giant paraesophageal hernia repair (1993-2004)]. Magy Seb. 2005;58(2):100-5.
Hajdu, Z., Bodnár, Z., & Tóth, D. (2005). [Our experiences during laparoscopic giant paraesophageal hernia repair (1993-2004)]. Magyar Sebeszet, 58(2), 100-5.
Hajdu Z, Bodnár Z, Tóth D. [Our Experiences During Laparoscopic Giant Paraesophageal Hernia Repair (1993-2004)]. Magy Seb. 2005;58(2):100-5. PubMed PMID: 16018276.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Our experiences during laparoscopic giant paraesophageal hernia repair (1993-2004)]. AU - Hajdu,Zoltán, AU - Bodnár,Zsolt, AU - Tóth,Dezso, PY - 2005/7/16/pubmed PY - 2005/9/15/medline PY - 2005/7/16/entrez SP - 100 EP - 5 JF - Magyar sebeszet JO - Magy Seb VL - 58 IS - 2 N2 - INTRODUCTION: Following both open and laparoscopic surgery for large hiatus hernias the recurrence rate is high. During the last decade we found that the correct indication and operation technique at primary operation should be prophylactic against recurrent hiatus hernia and postoperative dysphagia. MATERIAL AND METHOD: Between 1993 and 2004 more than 350 antireflux procedures were performed in our department. In 35 patients direct crural reconstructions and onlay-mesh implantation was necessary because of extremely large hiatus hernias. The onlay-mesh implantation and tension-free hiatus reconstruction beside correct calibration of the lower esophageal sphincter (LES) decreases the chance of recurrence and postoperative dysphagia. RESULTS: In the early period there were five recurrent hernias due to crural reconstruction with absorbable sutures, weak intracorporally knotted crural sutures and extremely large hiatus hernia. During laparoscopic reoperations reconstructions with onlay mesh implantation were performed successfully. CONCLUSION: The mesh implantation with correct indication and intraoperatively calibrated wrap decrease recurrence and postoperative dysphagia. Laparoscopic reoperation is a safe procedure with good results in trained hands. SN - 0025-0295 UR - https://www.unboundmedicine.com/medline/citation/16018276/[Our_experiences_during_laparoscopic_giant_paraesophageal_hernia_repair__1993_2004_]_ L2 - https://medlineplus.gov/hiatalhernia.html DB - PRIME DP - Unbound Medicine ER -