Research ArticleOpen AccessGoogle Scholar indexed
Type III/Type IV Giant Para-Oesophageal Herniae: Our Technique of Gastropexy with Biological Prosthesis
Department of General Surgery, William Harvey Hospital, Kent, UK
Department of Surgery and Cancer, Imperial College, London, UK
Surgical Registrar, WHH, Kent, UK
Department of General Surgery, William Harvey Hospital, Kent, UK
- 1 Department of General Surgery, William Harvey Hospital, Kent, UK
- 2 Department of Surgery and Cancer, Imperial College, London, UK
- 3 Surgical Registrar, WHH, Kent, UK
- 4 Department of General Surgery, William Harvey Hospital, Kent, UK
Copy link · social · email
Abstract
Objective: To present our technique of laparoscopic repair of giant para-oesophageal hernia with biological prosthesis (porcine dermis). Method: Our technique involves creating a pneumoperitoneum with standard port placement for anti-reflux surgery, mediastinal sac dissection and excision, crura-plasty, tension free placement of the biological prosthesis for hiatal reinforcement, fundoplication and gastropexy. Conclusion: Our technique of laparoscopic repair of giant para-oesophageal hernia with biological mesh is feasible and safe with acceptable morbidity and outcome.
KeywordsGiant Para-Oesophageal HerniaeHiatal DefectBiological MeshGastropexy
- Wassenaar, E.B., Mier, F., Sinan, H., Petersen, R.P., Martin, A.V., Pellegrini, C.A. and Oelschlager, B.K. (2011) The Safety of Biologic Mesh for Laparoscopic Repair of Large, Complicated Hiatal Hernia. Surgical Endoscopy, 26, 1390-1396. http://dx.doi.org/10.1007/s00464-011-2045-y
- Luketich, J.D., Nason, K.S., Christie, N.A., Pennathur, A., Jobe, B.A., Landreneau, R.J. and Schuchert, M.J. (2010) Outcomes after a Decade of Laparoscopic Giant Paraesophageal Hernia Repair. Journal of Thoracic and Cardiovascular Surgery, 139, 395-404. http://dx.doi.org/10.1016/j.jtcvs.2009.10.005
- Frantzides, C.T., Carlson, M.A., Loizides, S., Papafili, A., Luu, M., Roberts, J., Zeni, T. and Frantzides, A. (2010) Hiatal Hernia Repair with Mesh: A Survey of SAGES Members. Surgical Endoscopy, 24, 1017-1024. http://dx.doi.org/10.1007/s00464-009-0718-6
- Pierre, A.F., Luketich, J.D., Fernando, H.C., Christie, N.A., Buenaventura, P.O., Litle, V.R. and Schauer, P.R. (2002) Results of Laparoscopic Repair of Giant Paraesophageal Hernias: 200 Consecutive Patients. Annals of Thoracic Surgery, 74, 1909-1915. http://dx.doi.org/10.1016/S0003-4975(02)04088-2
- Oelschlager, B.K., Pellegrini, C.A., Hunter, J.G., Brunt, M.L., Soper, N.J., Sheppard, B.C., Polissar, N.L., Neradilek, M.B., Mitsumori, L.M., Rohrmann, C.A. and Swanstrom, L.L. (2011) Biologic Prosthesis to Prevent Recurrence after Laparoscopic Paraesophageal Hernia Repair: Long-Term Follow-Up from a Multicenter, Prospective, Randomized Trial. Journal of the American College of Surgeons, 213, 461-468. http://dx.doi.org/10.1016/j.jamcollsurg.2011.05.017
- Khanna, A. and Finch, G. (2011) Paraoesophageal Herniation: A Review. The Surgeon, 9, 104-111. http://dx.doi.org/10.1016/j.surge.2010.10.010