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Experience with laparoscopic treatment for paraesophageal hiatal hernia.
Asian J Endosc Surg. 2013 Nov; 6(4):266-70.AJ

Abstract

INTRODUCTION

Paraesophageal hiatal hernia is often associated with a number of complications such as intestinal obstruction, gastric volvulus and acute pancreatitis, each of which can result in critical conditions requiring surgery. Herein, we report our surgical procedure for paraesophageal hiatal hernia.

METHODS

Since 2003, we have surgically treated hiatal hernia in 18 patients, including 2 men and 16 women, with a mean age of 73 years. Thirteen patients (72.2%) had a type-I hiatal hernia, two (11.1%) had type III and three (16.7%) had type IV. The operative procedure consisted of a crural repair and anti-reflux maneuver.

RESULTS

Laparoscopic procedures were completed in all patients. The mean operation time was 160.2 min for type I and 230.8 min for types III and IV. The mean postoperative hospital stay was 7.8 days, and there was no mortality. Three patients relapsed during the mean follow-up period of 74.9 months. Two of them were asymptomatic and one required laparoscopic reoperation.

CONCLUSION

Laparoscopic surgery for paraesophageal hiatal hernia is safe and effective with minimal morbidity and early recovery. However, it is important to determine the appropriate timing of surgery based on the severity of the hernia and the patient's general status and comorbidities.

Authors+Show Affiliations

Department of Surgery, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23809870

Citation

Tagaya, Nobumi, et al. "Experience With Laparoscopic Treatment for Paraesophageal Hiatal Hernia." Asian Journal of Endoscopic Surgery, vol. 6, no. 4, 2013, pp. 266-70.
Tagaya N, Makino N, Saito K, et al. Experience with laparoscopic treatment for paraesophageal hiatal hernia. Asian J Endosc Surg. 2013;6(4):266-70.
Tagaya, N., Makino, N., Saito, K., Okuyama, T., Kouketsu, S., Sugamata, Y., & Oya, M. (2013). Experience with laparoscopic treatment for paraesophageal hiatal hernia. Asian Journal of Endoscopic Surgery, 6(4), 266-70. https://doi.org/10.1111/ases.12049
Tagaya N, et al. Experience With Laparoscopic Treatment for Paraesophageal Hiatal Hernia. Asian J Endosc Surg. 2013;6(4):266-70. PubMed PMID: 23809870.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Experience with laparoscopic treatment for paraesophageal hiatal hernia. AU - Tagaya,Nobumi, AU - Makino,Nana, AU - Saito,Kazuyuki, AU - Okuyama,Takashi, AU - Kouketsu,Shinichiro, AU - Sugamata,Yoshitake, AU - Oya,Masatoshi, Y1 - 2013/07/01/ PY - 2013/03/08/received PY - 2013/05/07/revised PY - 2013/05/26/accepted PY - 2013/7/2/entrez PY - 2013/7/3/pubmed PY - 2014/9/3/medline KW - Hernia repair KW - laparoscopic surgery KW - paraesophageal hiatal hernia SP - 266 EP - 70 JF - Asian journal of endoscopic surgery JO - Asian J Endosc Surg VL - 6 IS - 4 N2 - INTRODUCTION: Paraesophageal hiatal hernia is often associated with a number of complications such as intestinal obstruction, gastric volvulus and acute pancreatitis, each of which can result in critical conditions requiring surgery. Herein, we report our surgical procedure for paraesophageal hiatal hernia. METHODS: Since 2003, we have surgically treated hiatal hernia in 18 patients, including 2 men and 16 women, with a mean age of 73 years. Thirteen patients (72.2%) had a type-I hiatal hernia, two (11.1%) had type III and three (16.7%) had type IV. The operative procedure consisted of a crural repair and anti-reflux maneuver. RESULTS: Laparoscopic procedures were completed in all patients. The mean operation time was 160.2 min for type I and 230.8 min for types III and IV. The mean postoperative hospital stay was 7.8 days, and there was no mortality. Three patients relapsed during the mean follow-up period of 74.9 months. Two of them were asymptomatic and one required laparoscopic reoperation. CONCLUSION: Laparoscopic surgery for paraesophageal hiatal hernia is safe and effective with minimal morbidity and early recovery. However, it is important to determine the appropriate timing of surgery based on the severity of the hernia and the patient's general status and comorbidities. SN - 1758-5910 UR - https://www.unboundmedicine.com/medline/citation/23809870/Experience_with_laparoscopic_treatment_for_paraesophageal_hiatal_hernia_ L2 - https://doi.org/10.1111/ases.12049 DB - PRIME DP - Unbound Medicine ER -