Totally Robotic Combined Roux-en-Y Gastric Bypass and Hiatal Hernia Repair with Biological Mesh: Technical Points

2017 ◽  
Vol 27 (12) ◽  
pp. 3349-3350 ◽  
Author(s):  
Fabian Reche ◽  
Adrian Mancini ◽  
Anne-Laure Borel ◽  
Jean-Luc Faucheron ◽  
Catherine Arvieux
2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Yahya Alwatari ◽  
Renato Roriz-Silva ◽  
Roel Bolckmans ◽  
Guilherme M Campos

Abstract A 43 years old female with laparoscopic sleeve gastrectomy (SG) and an ‘anterior’ hiatal hernia repair 11 years ago, presented with 3 years history dysphagia and heartburn. Upper gastrointestinal barium showed an almost complete intrathoracic migration of the SG with a partial organoaxial volvulus. Upper endoscopy revealed a 10 cm hiatal hernia with grade B esophagitis. Laparoscopic revision surgery with reduction of the gastric sleeve, standard posterior hiatal hernia repair, resection of the narrowed remnant of the SG and conversion to a gastric bypass was performed. No postoperative complications occurred. The patient is asymptomatic at 2 years of follow-up. We present the technical standards for the management and discuss the suspected pathophysiology of this rare but challenging condition.


2020 ◽  
Vol 30 (10) ◽  
pp. 4115-4115
Author(s):  
Isabel Mora Oliver ◽  
Raquel Alfonso Ballester ◽  
Gabriel Kraus Fischer ◽  
Ana Benítez Riesco ◽  
Norberto Cassinello Fernández ◽  
...  

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yusheng Nie ◽  
Yao Xiong ◽  
Lei Guan ◽  
Xin Yuan ◽  
Fuqiang Chen ◽  
...  

Abstract Background Laparoscopic paraesophageal hernia repair is associated with higher recurrence rate. Mesh is used to reduce the recurrence rate. This retrospective study is to review our experience of biological mesh fixed with suture and medical glue in hiatal hernias repairs. Methods A retrospective chart review was conducted for a consecutive series of patients undergoing laparoscopic hiatal herniorrhaphy between January 2018 and January 2019. After hiatus closure, a piece of biological prosthesis was fixed with medical glue and suture for reinforcement of the crural closure. Clinical outcomes were reviewed, and data were collected regarding operative details, complications, symptoms, and follow-up imaging. Radiological evidence of any size of hiatal hernia was considered to indicate a recurrence. Results Thirty-six patients underwent surgery uneventfully without any serious complication. There was no mortality. The follow-up was, on average, 18.4 months, and there was no symptomatic recurrence. There was one anatomical recurrence without any related presentation. The method of mesh fixation with medical glue and suture took 12 min on average, and the handling was fairly easy. Conclusions Biological mesh fixed with suture and medical glue was safe and effective for repairing large hiatal hernias. Of course, a longer follow-up is still needed for determining long-term outcomes.


2020 ◽  
Vol 30 (10) ◽  
pp. 4111-4114
Author(s):  
Isabel Mora Oliver ◽  
Raquel Alfonso Ballester ◽  
Gabriel Kraus Fischer ◽  
Ana Benítez Riesco ◽  
Norberto Cassinello Fernández ◽  
...  

2021 ◽  
Vol 17 (1) ◽  
pp. 72-80
Author(s):  
Kristina H. Lewis ◽  
Katherine Callaway ◽  
Stephanie Argetsinger ◽  
Jamie Wallace ◽  
David E. Arterburn ◽  
...  

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