Abstract
Botulinum toxin is already in use to treat abdominal wall giant hernia. The concept is to reduce pressure e create new space in the abdominal compartiment after the surgey. We show a case that a similar aproach was used to treat giant hiatal hernia.
Methods
We used botulinum toxin 4 weeks prior the surgery to increase de abdominal compartment. it was checked in a ct scan.
Results
The surgey was performed with a hiatoplasty, fundoplication and a gastropexy.
Conclusion
The use of botulinum seens to be a new stragy for selected cases.
Video
https://www.dropbox.com/s/td7fr3a6buejqnd/Bianchi%20ET%20botox.wmv?dl=0.
Preoperative botulinum toxin type A: A case report of a proposed new strategy for giant hiatal hernia management
