Technical Pitfalls and Factors that Promote Recurrence (Small Defects) Following Surgical Treatment of Hiatal Hernia.

Autor: Schumpelick, Volker, Fitzgibbons, Robert J., Targarona, M. E., Balague, C., Berindoague, R., Trias, M.
Zdroj: Recurrent Hernia; 2007, p71-79, 9p
Abstrakt: The successful development of laparoscopic fundoplication has made it a valid alternative to medical therapy in the treatment of gastro-esophageal reflux. As experience has grown, the laparoscopic approach is now used to treat more complex conditions such as type II (paraesophageal hernia, PEH) or type-III (mixed) hiatal hernia [1]. Results from several series have shown that laparoscopic repair is feasible and safe, in spite of the increased technical difficulty, and its immediate and short-term results are excellent (⊡ Table 8.1) [2]-[13]. However, the incidence of recurrences may be high, reaching 42% in one series [3]. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index