T-Shaped Mesh Application for Pillar Reinforcement of Laparoscopic Nissen-Rossetti Procedure for Giant Hiatal Hernia

Videoscopy ◽  
2013 ◽  
Vol 23 (1) ◽  
Author(s):  
Tihomir Georgiev-Hristov ◽  
José Tomás Castell-Gómez ◽  
Juan Manuel Bellón
Keyword(s):  
Hiatal Hernia ◽  
Giant Hiatal Hernia ◽  
Laparoscopic Nissen

Quality of life after anti-reflux surgical interventions: possible solutions to the problem

2020 ◽  
pp. 3-25
Author(s):  
D. Lukanin ◽  
G. Rodoman ◽  
M. Klimenko ◽  
A. Sokolov ◽  
A. Sokolov
Keyword(s):  
Quality Of Life ◽  
Hiatal Hernia ◽  
Antireflux Surgery ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Partial Fundoplication ◽  
Surgical Interventions ◽  
Number Of Patients ◽  
Laparoscopic Nissen

The article presents the results of a prospective controlled parallel clinical study of a new modification of laparoscopic antireflux surgery in the treatment of gastroesophageal reflux disease in combination with a hiatal hernia compared with laparoscopic Nissen fundoplication in terms of assessing quality of life after surgery. Clinical and instrumental examination of patients was carried out a year after surgical interventions. In accordance with the results of instrumental examination after surgery, the proposed modification of laparoscopic partial fundoplication is not inferior to laparoscopic Nissen fundoplication both, in terms of relief of reflux esophagitis symptoms and in relation to the recurrence of hiatal hernia. Clinical monitoring indicates a significantly higher quality of life for patients after the modified antireflux surgery, which is associated with a number of factors. The implementation of this fundoplication led to a decrease in the number of patients with complaints of dysphagia, the development of which is directly related to the surgery performance, as well as to a statistically significant reduction of bloating in the upper abdomen. Another advantage of the modified surgery is a significantly smaller number of cases of gas-bloat syndrome. In addition, the disorders developing in the framework of the gas bloat syndrome after laparoscopic Nissen fundoplication are more severe.

VS02.06: ROBOTIC RE-DO GIANT HIATAL HERNIA WITH MESH

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 47-47
Author(s):  
Rubens Sallum ◽  
Flavio Takeda ◽  
Marco Santo ◽  
Ivan Cecconello
Keyword(s):  
Hiatal Hernia ◽  
Conflicts Of Interest ◽  
Barbed Suture ◽  
Ultrasonic Scalpel ◽  
Robotic Arms ◽  
Total Fundoplication ◽  
Giant Hiatal Hernia ◽  
Hiatal Repair

Abstract Description The authors present a video of reoperation of relapsed giant hiatal hérnia (twice). Tactics of static presentation of 2 robotic arms allowing safe dissection with 2 concomitant energy modalities: ultrasonic scalpel and bipolar. The endowrist movments allow intrathoracic safe dissection. The hiatal repair with barbed suture at different angles was followed by a biological U-shape mesh. Total fundoplication with 3 lines of suture and hiatal fixation are highlighted. Disclosure All authors have declared no conflicts of interest.

Robotic giant hiatal hernia repair: 3 year prospective evaluation and review of the literature

2014 ◽  
Vol 11 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Luca Morelli ◽  
Simone Guadagni ◽  
Maria Donatella Mariniello ◽  
Roberta Pisano ◽  
Cristiano D'Isidoro ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Prospective Evaluation ◽  
Review Of The Literature ◽  
Giant Hiatal Hernia

scholarly journals Hiatal hernia and morbid obesity—‘Roux-en-Y gastric bypass’ the one step solution

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Mohsin Khan ◽  
Aloy J Mukherjee
Keyword(s):  
Morbid Obesity ◽  
Gastric Bypass ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Good Alternative ◽  
Morbidly Obese ◽  
Co Morbidity ◽  
Giant Hiatal Hernia ◽  
One Step ◽  
The One

Abstract Obesity and hiatal hernia go hand in hand as siblings. Morbidly obese patients commonly have gastroesophageal reflux (GERD) and associated hiatal hernias (HH). The gold standard for all symptomatic reflux patients is still surgical correction of the paraesophageal hernia, hiatal closure and fundoplication. Laparoscopic Roux-en-Y gastric bypass (LRYGB) is an effective surgical treatment for morbid obesity and is known to effectively control symptoms of gastroesophageal reflux (GERD). It appears to be safe and feasible and becoming more common. Moreover, LRYGB plus Hiatus hernia repair (HHR) appears to be a good alternative for HH patients suffering from morbid obesity as well than antireflux surgery alone because of the additional benefit of significant weight loss and improvement of obesity related co-morbidity. One patient suffering from giant hiatal hernia and morbid obesity where a combined LRYGB and HHR without mesh was performed is presented in this paper.

Giant Hiatal Hernia

2010 ◽  
Vol 89 (6) ◽  
pp. S2168-S2173 ◽  
Author(s):  
Mohi O. Mitiek ◽  
Rafael S. Andrade
Keyword(s):  
Hiatal Hernia ◽  
Giant Hiatal Hernia
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