Laparoscopic Treatment of Large Hiatal Hernias

Autor: Donald L. van der Peet, Miguel A. Cuesta, Elly C. Klinkenberg-Knol
Rok vydání: 1999
Předmět:
Zdroj: Surgical Innovation. 6:213-223
ISSN: 1553-3506
DOI: 10.1177/155335069900600405
Popis: Large hiatal or paraesophageal hernias constitute between 5% and 10% of all hiatal hernias. This hernia is a potential threatening complication, and a timely operative correction should be performed in all patients with an acceptable risk. Based on the lessons learned from conventional approach, laparoscopic treatment has confirmed the initial good results with all advantages of laparoscopic surgery. Reduction of the hernia, excision of the sac, and approximation of the hiatus followed by selective use of an antireflux procedure and some form of gastropexy constitute the operative steps to obtain optimal postoperative results. Copyright © 1999 by W. B. Saunders Company
Databáze: OpenAIRE