BACKGROUND: We set out to evaluate the results of the laparoscopic treatment of large paraesophageal hernias in 22 patients. METHODS: Between 1993 and 1998, we operated on 22 consecutive patients. Preoperative assessment consisted of endoscopy, barium esophagogram, 24-h pH testing, manometry, and gastric emptying times. RESULTS: In the first three patients, the sac was not excised and gastropexy was not performed. Because of recurrences, we decided to change the technique in an attempt to avoid further complications. During middle- to long-term follow-up, only three recurrences were seen in the subsequent 19 patients. There were no deaths in this series. CONCLUSIONS: Laparoscopic treatment of large paraesophageal hernias is feasible. Because recurrences may occur after successful laparoscopic treatment, both resection of the sac and some form of gastropexy are imperative.
BACKGROUND: We set out to evaluate the results of the laparoscopic treatment of large paraesophageal hernias in 22 patients. METHODS: Between 1993 and 1998, we operated on 22 consecutive patients. Preoperative assessment consisted of endoscopy, barium esophagogram, 24-h pH testing, manometry, and gastric emptying times. RESULTS: In the first three patients, the sac was not excised and gastropexy was not performed. Because of recurrences, we decided to change the technique in an attempt to avoid further complications. During middle- to long-term follow-up, only three recurrences were seen in the subsequent 19 patients. There were no deaths in this series. CONCLUSIONS: Laparoscopic treatment of large paraesophageal hernias is feasible. Because recurrences may occur after successful laparoscopic treatment, both resection of the sac and some form of gastropexy are imperative.
Authors: Michael Parker; Steven P Bowers; Jillian M Bray; Adam S Harris; Erol V Belli; Jason M Pfluke; Susanne Preissler; Horacio J Asbun; C Daniel Smith Journal: Surg Endosc Date: 2010-05-13 Impact factor: 4.584
Authors: Christopher R Daigle; Peter Funch-Jensen; Dan Calatayud; Peter Rask; Bo Jacobsen; Teodor P Grantcharov Journal: Surg Endosc Date: 2014-10-08 Impact factor: 4.584
Authors: F A Granderath; M A Carlson; J K Champion; A Szold; N Basso; R Pointner; C T Frantzides Journal: Surg Endosc Date: 2006-01-19 Impact factor: 4.584
Authors: Beat P Müller-Stich; Arianeb Mehrabi; Hannes G Kenngott; Hamidreza Fonouni; Michael A Reiter; Gani Kuttymoratov; Felix Nickel; Georg R Linke; Ivo Wolf; Jörg Köninger; Carsten N Gutt Journal: Surg Endosc Date: 2008-10-15 Impact factor: 4.584