Chapter

In Support of Standard Procedure in Hiatal Hernia Repair

12/2009; DOI:10.1007/978-3-642-11541-7_66 pp.503-512

ABSTRACT Laparoscopic esophageal surgery has gained popularity due to the unprecedented view it allows of esophageal hiatal hernias
and the ease of access to the surgical site offered by the minimal-access approach. Numerious series have demonstrated the
safety and efficacy of approaching gastroesophageal reflux disease (GFRD) and hiatal hernia repair laparoscopically [1, 2]. Despite increasing experience with laparoscopic hiatal hernia repair, authors continue to report recurrence rates of up
to 43% with sutured cruroplasty [3, 4]. This compares laparoscopic hiatal hernia repair poorly with open rapair, as it is well documented that open hiatal hernia
repair with the addition of Stamm gastrostomy is associated with very low recurrence rates [5, 6]. Additionally, intrathoracic wrap migration rates of up to 26% have been reported for patients undergoing laparoscopic fundoplication
with primary sutured hiatal hernia repair [7].

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Keywords

compares laparoscopic hiatal hernia
 
esophageal hiatal hernias
 
gastroesophageal reflux disease
 
hiatal hernia
 
Laparoscopic esophageal surgery
 
laparoscopic hiatal hernia
 
laparoscopically
 
low recurrence rates
 
minimal-access approach
 
open hiatal hernia
 
open rapair
 
patients undergoing laparoscopic fundoplication
 
primary sutured hiatal hernia
 
report recurrence rates
 
Stamm gastrostomy
 
surgical site
 
sutured cruroplasty
 
unprecedented view
 

P.K. Chowbey