C Marius Hoogerboord

Dalhousie University, Halifax, Nova Scotia, Canada

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Publications (1)2.36 Total impact

  • Adrian E Park, C Marius Hoogerboord, Erica Sutton
    [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVES: Laparoscopic repair of a giant paraesophageal hiatal hernia remains a challenging procedure. Several techniques have been developed in efforts to achieve tension-free reconstruction of the esophageal hiatus. In this report, we describe a technique whereby the falciform ligament is used as an autologous onlay flap to achieve tension-free closure of the crural defect of a giant paraesophageal hernia (GPEH). DISCUSSION: Use of the falciform ligament as a vascularized autologous onlay flap is a safe and effective procedure to obtain closure of the crural defect of a GPEH. The falciform ligament should be adequately mobilized from the anterior abdominal wall to prevent lateral tension on the flap, but care must be taken to avoid devascularization. Interrupted vertical mattress sutures are used to fix the falciform ligament to the left and right hiatal crurae.
    Journal of Gastrointestinal Surgery 05/2012; 16(7):1417-21. · 2.36 Impact Factor

Publication Stats

1 Citation
2.36 Total Impact Points

Institutions

  • 2012
    • Dalhousie University
      Halifax, Nova Scotia, Canada