Practice-Changing Milestones in Anti-reflux and Hiatal Hernia Surgery: a Single Surgeon Perspective over 27 years and 1200 Operations

2021 ◽  
Author(s):  
Vic Velanovich
Keyword(s):  
Hiatal Hernia ◽  
Hernia Surgery

Comparasion of Effect of Epidural and Intravenous Analgesia on Stress Response in Laparoscopic Hiatal Hernia Surgery

2012 ◽  
Vol 40 (3) ◽  
pp. 144-153
Author(s):  
Birgul Tutas ◽  
Cigdem Tutuncu ◽  
Birsel Ekici ◽  
Fatis Altindas ◽  
Guner Kaya
Keyword(s):  
Stress Response ◽  
Hiatal Hernia ◽  
Hernia Surgery ◽  
Intravenous Analgesia

scholarly journals Huge Hiatal Hernia Mimicking a Mass with Compressive Effects on the Left Atrium Causing Paroxysmal Atrial Fibrillation

2019 ◽  
Author(s):  
Murat Akçay ◽  
İlkay Çamlıdağ
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrium ◽  
Hiatal Hernia ◽  
Paroxysmal Atrial Fibrillation ◽  
Valsalva Maneuver ◽  
Cardiac Computed Tomography ◽  
High Rate ◽  
Hernia Surgery ◽  
Mass Size

An 82-year-old female patient presented with complaints of dyspnea and increasing palpitations caused by food reflux. There was no risk factor except hypertension. On physical examination, the heart rate was 120 beats/min and arrhythmic and blood pressure was 130/80 mmHg. Electrocardiography showed high-rate atrial fibrillation. Laboratory parameters were unremarkable. Echocardiography illustrated a hyperechogenic and well-circumscribed mass, 40×55 mm size, in the posterior left atrium (Figure 1, Video 1). The mass size increased with breathing and the Valsalva maneuver. There was no pathology on chest radiography. The atrial fibrillation returned to sinus rhythm spontaneously, but paroxysmal atrial fibrillation attacks were observed, which were related to food reflux at follow-up. Subsequently, cardiac computed tomography, performed to determine the etiology, failed to demonstrate any pathological findings involving the left atrium. However, there was a sliding hernia in the paraesophageal region compressing the left atrium from the inferior-posterior region (Figure 2). Hiatal hernia surgery was recommended on account of the intermittently repeating symptoms. The patient refused the operation, and she is under follow-up with medical treatment.

Redo Hiatal Hernia Surgery: Robotic Laparoscopic Approach

2021 ◽  
pp. 659-664
Author(s):  
Alexander Christiaan Mertens ◽  
Ivo A. M. J. Broeders
Keyword(s):  
Hiatal Hernia ◽  
Laparoscopic Approach ◽  
Hernia Surgery

Robotic-assisted hiatal hernia surgery with the da Vinci system: A 2-year experience in a single institution

2015 ◽  
Vol 12 (2) ◽  
pp. 112-114
Author(s):  
Arun Prasad ◽  
Ramesh Kumar Aggarwal ◽  
Abhishek Tiwari ◽  
Vachan S. Hukkeri
Keyword(s):  
Hiatal Hernia ◽  
Da Vinci ◽  
Single Institution ◽  
Hernia Surgery ◽  
Robotic Assisted ◽  
Da Vinci System ◽  
Vinci System ◽  
System A

scholarly journals Erratum to: Hiatal Hernia Surgery

2018 ◽  
pp. E1-E1
Author(s):  
Muhammed Ashraf Memon
Keyword(s):  
Hiatal Hernia ◽  
Hernia Surgery

O-EGS01 Emergency Giant Hiatal Hernia Repairs: Experiences in fundoplication versus gastropexy

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Mohamed Alasmar ◽  
Iona McKechnie ◽  
Ram Chaparala
Keyword(s):  
Hiatal Hernia ◽  
Emergency Surgery ◽  
Conclusive Evidence ◽  
P Value ◽  
Hernia Surgery ◽  
Post Discharge ◽  
Recurrence Rates ◽  
Symptomatic Recurrence ◽  
Repeat Operation ◽  
Giant Hiatal Hernia

Abstract Background An emergency presentation with a hiatal hernia tends to be life-threatening with a high associated mortality rate. Operative management aims to reduce the herniated stomach, dissect the hernial sac and reapproximate the crura. This will often be followed by a fundoplication or a gastropexy to reduce the risk of recurrence. This study compares the recurrence rates between patients who underwent fundoplication and gastropexy. Methods Over 8 years, from October 2012 to November 2020, 80 patients were admitted to a tertiary oesophagogastric centre requiring emergency surgery to repair a giant hiatal hernia. We conducted a retrospective review and analysis of their admission and follow-up. The primary outcome measure was acute and post-discharge symptomatic recurrence of hiatal hernia, and secondary outcomes were patient mortality and readmission rate. Results Of the 80 patients requiring emergency hiatal hernia surgery, 38% had fundoplication procedures, 53% had gastropexy, and 3% had both (n = 30, 42, 2 respectively). One patient had neither, and 6% (n = 5) patients had a complete or partial resection of the stomach due to necrosis, so they were not suitable for gastropexy or fundoplication. Eight patients (10%) had symptomatic recurrence of hiatal hernia requiring a repeat operation; three within the index admission, five post-discharge. 50% had undergone fundoplication, 38% underwent gastropexy and 13% underwent a resection (n = 4, 3, 1)(p-value=0.5). 19% (n = 15) patients were readmitted. Post-operative mortality was 6% (n = 5). Conclusions Emergency surgery for giant hiatal hernias is usually complex, and a significant cohort of these patients are elderly with significant co-morbidities. Nevertheless, there is no conclusive evidence in the literature favouring fundoplication versus gastropexy. Choice of technique is influenced by the surgeon’s experience and perioperative factors that influence the duration of the operation. This review, which includes the largest cohort of patients available in the literature, demonstrates that surgical technique does not influence the symptomatic recurrence rate in our patient group.

Risk Factors for Readmissions and Reoperations after Hiatal Hernia Surgery: NSQIP Analysis

2019 ◽  
Vol 229 (4) ◽  
pp. e126
Author(s):  
Andrew Broda ◽  
Zachary Sanford ◽  
Adam S. Weltz ◽  
Udai S. Sibia ◽  
Adrian Park
Keyword(s):  
Risk Factors ◽  
Hiatal Hernia ◽  
Hernia Surgery

Morbidity and mortality in complex robot-assisted hiatal hernia surgery: 7-year experience in a high-volume center

2018 ◽  
Vol 33 (7) ◽  
pp. 2152-2161 ◽  
Author(s):  
Alexander C. Mertens ◽  
Rob C. Tolboom ◽  
Hana Zavrtanik ◽  
Werner A. Draaisma ◽  
Ivo A. M. J. Broeders
Keyword(s):  
Hiatal Hernia ◽  
High Volume ◽  
Morbidity And Mortality ◽  
Robot Assisted ◽  
Hernia Surgery ◽  
High Volume Center
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