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2008, Number 3

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Rev Mex Cir Endoscop 2008; 9 (3)

Laparoscopic correction of the mixed hiatal hernias. Results at mid-term

Pagán PA, Llabres RM

Language: Spanish
References: 33
Page: 126-131
PDF size: 190.16 Kb.


ABSTRACT

Introduction: The complications of the mixed hernia need surgical treatment. Controversies exist on alternative this one in asymptomatic patients, due to her complex repair and high percentage of relapses in the long term. The surgical classic routes, they present morbi-mortality related to the extent of the incisions, to long hospital stays and slow recovery.
Material and methods: Between October 2001 to November 2007 we check 39 patients, with hernia type the IIIrd in 37 and type the IVth in 2 patients. Middle Ages of 65 years (35-78 years). In Lloyd-Davies’s position, the content diminishes hernia and the redundant sack is resected. The diaphragmatic props are sutured by material not reabsorbable. It was a necessary mesh in 7/39 repairs. It concludes with a partial or complete antireflux.
Results: The operative average time was of 126 min. The hospital stay of 2.46 days. The complications perioperative are principally cardiorespiratory. A patient died for an intestinal perforation of late diagnosis. We realize gastroduodenal to 12 months in 28 patients (71.7%). We find relapse in 8 patients, in 4 it (she) was asymptomatic. A relapse needed reintervention for strangulation of a gastric volvulus.
Conclusions: The laparoscopic offers rapid postoperatory recovery, minor morbidity and hospital stay. They must continue being waited relapses in the long term.


REFERENCES

  1. Landrenau RJ, Del Pino M, Santos R. Management of paraesophageal hernias. Surg Clin North Am 2005; 85: 411-432.

  2. Athanasakis H, Tzortzinis A, Tsiaoussis J, Vassilakis JS, Xynos E. Laparoscopic repair of paraesophageal hernia. Endoscopy 2001; 51: 590-594.

  3. Huntington TR. Short-term outcome of laparoscopic paraesophageal hernia repair. A case series of 58 consecutive patients. Surg Endosc 1997; 11: 894-898.

  4. Hashemi M, Peters JH, DeMeester TR, Huprich JE, Queck M, Hagen JA, Cookers PF, Theisen J, DeMeester SR, Sillin LF. Laparoscopic repair of large type III hiatal hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg 2000; 190: 553-601.

  5. Targarona EM, Bendaham G, Balague C, Garriga J, Trias M. Mallas en el hiato: una controversia no solucionada. Cir Esp 2004; 75: 105-116.

  6. Stylopoulos N, Gazelle GS, Rattner DW. Paraesophageal hernias: operation or observation? Ann Surg 2002; 236: 492-501.

  7. Shaw MJ, Talley NJ, Beebe TJ, Rockwood T, Carlsoson R, Adlis S et al. Initial validation of a diagnostic questionnaire for gastroesophageal reflux disease. Am J Gastroenterol 2001; 96: 52-57.

  8. SAGES guidelines. Guidelines for surgical treatment of gastroesophageal reflux disease. Surg Endosc 1998; 12: 186-188.

  9. Lal DR, Pellegrini CA, Oelschlager BK. Laparoscopic repair of paraesophageal hernia. Surg Clin N Am 2005; 85: 105-118.

  10. Skinner DB, Belsey RH. Surgical management of esophageal reflux and hiatus hernia. Long-term results with 1,030 patients. J Thorac Cardiovasc Surg 1967; 53: 33-54.

  11. Sweet RH. Experience with 500 cases of hiatus hernia. J Thorac Surg 1962; 44: 145.

  12. Myers G, Harms B, Starling J. Management of paraesophageal hernias with a selective approach to antireflux surgery. Am J Surg 1995; 170: 375-380.

  13. Gantert WA, Patti MG, Arcerito M et al. Laparoscopic repair of paraesophageal hiatal hernias. J Am Coll Surg 1998; 186: 428-432.

  14. Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, Grassi GB. Evidence-based appraisal of antireflux fundoplication. Ann Surg 2004; 239: 325-337.

  15. Watson DI, Glyn G. Jamieson GG, Lally C, Archer S, Bessell JR et al. Multicenter, prospective, double-blind, randomized trial of laparoscopic Nissen vs anterior 90º partial fundoplication. Arch Surg 2004; 139: 1160-1167.

  16. Pessaux P, Arnaud JP, Ghavami B, Flament JB, Trebuchet G, Meyer C, Huten N, Champault G. Laparoscopic antireflux surgery: comparative study of Nissen, Nissen-Rossetti, and Toupet fundoplication. Surg Endosc 2000; 14: 1024-1027.

  17. Herbella FAM, Tedesco P, Nipomnick I, Fisichella PM, Patti MG. Effect of partial and total laparoscopic fundoplication on esophageal body motility. Surg Endosc 2007; 21: 285-288.

  18. Carter R, Brewer LA 3rd, Hinshaw DB. Acute gastric volvulus. A study of 25 cases. Am J Surg 1980; 140: 99-106.

  19. Haas O, Rat P, Christophe M et al. Surgical results of intrathoracic gastric volvulus complicating hiatal hernia. Br J Surg 1990; 77: 1379-1381.

  20. Geha AS, Massad MG, Snow NJ et al. A 32-year experience in 100 patients with giant paraesophageal hernia: the case for abdominal approach and selective antireflux repair. Surgery 2000; 128: 623-630.

  21. Leggett PL, Bissell CD, Churchman-Winn R. Surg Endosc 2002; 16: 362.

  22. Kuster GG, Gilroy S. Laparoscopic technique for repair of paraesophageal hiatal hernias. J Laparoendosc Surg 1993; 3: 331-338.

  23. Perdikis G, Hinder RA, Filipi CJ, Walenz T, McBride PJ, Smith SL, Katada N, Klingler PJ. Laparoscopic paraesophageal hernia repair. Arch Surg 1997; 132: 586-590.

  24. Cuesta MA, vab der Poet DL, Klinkenberg-Knol EC. Laparoscopic treatment of large hiatal hernias. Semin Laparosc Surg 1999; 6: 213-223.

  25. Vara Thorbeck C, Felices M, Toscazo R, Salvi M. Nuestra experiencia en el tratamiento de la hernia hiatal paraesofágica por vía laparoscópica. Cir Esp 2000; 68: 214-218.

  26. Frantzides CT, Madan AK, Carlson MA, Stavropoulos GP. A prospective, randomized trial of laparoscopic polytetrafluoroethylene (PTFE) patch repair vs simple cruroplasty for large hiatal hernia. Arch Surg 2002; 137: 649-652.

  27. Granderath FA, Carlson MA, Champion JK, Szold A, Basso N, Pointner R, Frantzides CT. Prosthetic closure of the esophageal hiatus in large hiatal hernia repair and laparoscopic antireflux surgery. Surg Endosc 2006; 20: 367-379.

  28. Objective follow-up after laparoscopic repair of large type III hiatal hernia. Assessment of safety and durability. World Surg 2007; 31: 2177-2183.

  29. Oelschlager BK, Pellegrini CA, Hunter J. Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair. A multicenter, prospective, randomized trial. Ann Surg 2006; 244: 481-490.

  30. Arendt T, Stuber E, Monig H. Dysphagia due to transmural migration of surgical material into the esophagus nine years after Nissen fundoplication. Gastrointest Endosc 2000; 51: 607-610.

  31. Kemppainen E, Kiviluoto T. Fatal cardiac tamponade after emergency tension-free repair of a large paraesophageal hernia. Surg Endosc 2000; 14: 593.

  32. Granderath FA, Kamolz T, Schweiger UM, Pointner R. Laparoscopic refundoplication with prosthetic hiatal closure for recurrent hiatal hernia after primary failed antireflux surgery. Arch Surg 2003; 138: 902-907.

  33. Novell J, Targarona EM, Vela S, Cerdán G, Bendahan G, Torrubia S, Rebasa P, Alonso V, Balague C, Garriga J, Trias M. Resultados a medio plazo y calidad de vida del tratamiento laparoscópico de la hernia de hiato paraesofágica. Cir Esp 2004; 76: 382-387.




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