Beyond Belsey: complex laparoscopic hiatus and diaphragmatic hernia repair.
Adult
Aged
Diaphragm
/ surgery
Female
Hernia, Hiatal
/ etiology
Hernias, Diaphragmatic, Congenital
/ complications
Herniorrhaphy
/ adverse effects
Humans
Laparoscopy
/ adverse effects
Middle Aged
Postoperative Complications
/ epidemiology
Pregnancy
Pregnancy Complications
/ etiology
Recurrence
Treatment Outcome
Young Adult
Bochdalek hernia
Morgagni hernia
congenital hernia
diaphragmatic hernia
hiatus hernia
Journal
Annals of the Royal College of Surgeons of England
ISSN: 1478-7083
Titre abrégé: Ann R Coll Surg Engl
Pays: England
ID NLM: 7506860
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
pubmed:
17
10
2018
medline:
20
3
2019
entrez:
17
10
2018
Statut:
ppublish
Résumé
Diaphragmatic and hiatus hernias can cause mild chronic symptoms or have an acute presentation with gastric volvulus and obstruction. Elective or emergency surgery is indicated in symptomatic patients and nowadays is generally performed laparoscopically. We report four different types of hernias: a giant hiatus hernia following a gastric pull-up for recurrent congenital diaphragmatic hernia; a Bochdalek hernia in a pregnant young woman; concomitant hiatus and Morgagni hernias; and a giant hiatus hernia occupying the right chest. All were approached laparoscopically, either electively or as an emergency. Surgery led to a resolution of symptoms in all the cases. We had no any intraoperative complications. Two patients developed minor postoperative complications (chest infection). No recurrences were found during a mean follow-up of 18 months. Transabdominal laparoscopic approach is a safe and feasible approach to all cases of symptomatic hiatus and diaphragmatic hernia.
Sections du résumé
BACKGROUND
BACKGROUND
Diaphragmatic and hiatus hernias can cause mild chronic symptoms or have an acute presentation with gastric volvulus and obstruction. Elective or emergency surgery is indicated in symptomatic patients and nowadays is generally performed laparoscopically.
METHODS
METHODS
We report four different types of hernias: a giant hiatus hernia following a gastric pull-up for recurrent congenital diaphragmatic hernia; a Bochdalek hernia in a pregnant young woman; concomitant hiatus and Morgagni hernias; and a giant hiatus hernia occupying the right chest. All were approached laparoscopically, either electively or as an emergency.
RESULTS
RESULTS
Surgery led to a resolution of symptoms in all the cases. We had no any intraoperative complications. Two patients developed minor postoperative complications (chest infection). No recurrences were found during a mean follow-up of 18 months.
CONCLUSIONS
CONCLUSIONS
Transabdominal laparoscopic approach is a safe and feasible approach to all cases of symptomatic hiatus and diaphragmatic hernia.
Identifiants
pubmed: 30322286
doi: 10.1308/rcsann.2018.0183
pmc: PMC6400907
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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