Vol 9: Laparoscopic surgery of esophageal hiatus hernia - single center experience.Report as inadecuate



 Vol 9: Laparoscopic surgery of esophageal hiatus hernia - single center experience.


Vol 9: Laparoscopic surgery of esophageal hiatus hernia - single center experience. - Download this document for free, or read online. Document in PDF available to download.

Download or read this book online for free in PDF: Vol 9: Laparoscopic surgery of esophageal hiatus hernia - single center experience.
This article is from Videosurgery and other Miniinvasive Techniques, volume 9.AbstractIntroduction: Esophageal hiatal hernias are the most frequent types of internal hernias. This condition involves disturbance of normal functioning of the stomach cardiac mechanism and reflux of the gastric contents to the esophagus.Aim: To evaluate postoperative results in our Clinic and the comparison of these results to data from the literature. Material and methods: One hundred and seventy-eight patients underwent surgery due to esophageal hiatal hernia at the Clinic of General, Gastroenterological and Oncological Surgery, Collegium Medicum, Bydgoszcz, Nicolaus Copernicus University, Torun, Poland, from 2006 to 2011. All operations were performed using laparoscopy. Fundoplication by means of the Nissen-Rossetti method was carried out in 172 patients while Toupets and Dors methods were applied in 4 and 2 patients, respectively. Results: Average time of the surgery was 82 min 55–140 min. Conversion was performed in 4 cases. No serious intraoperative complications were noted. In the postoperative period, dysphagia was reported in 20 patients 11.2%. Postoperative wound infection was observed in 1 patient 0.56%. Hernias in the trocar insertion area were reported in 3 patients 1.68%. Ailments recurred in 6 patients. The recurrence of esophageal hiatal hernia was confirmed in 2 patients. Patients with recurrent hernia were re-operated using a laparoscopic approach. Conclusions: Laparoscopic surgery is a simple and effective approach for patients with gastroesophageal reflux symptoms due to diaphragmatic esophageal hiatus hernia. The number of complications is lower after laparoscopic procedures than after -open- operations.



Author: Piatkowski, Jacek; Jackowski, Marek; Szeliga, Jacek

Source: https://archive.org/







Related documents