scholarly journals Type IV para-oesophageal hiatal hernia: it's a gut feeling

2009 ◽  
Vol 2009 (feb04 1) ◽  
pp. bcr0620080302-bcr0620080302
Author(s):  
F. Irani ◽  
V. Mahajan
Keyword(s):  
Hiatal Hernia ◽  
Type Iv

scholarly journals Abdome Agudo Obstrutivo por hérnia hiatal tipo IV – Um relato de caso / Obstructive acute abdomen for type IV hiatal hernia – A case report

2020 ◽  
Vol 3 (4) ◽  
pp. 10460-10469
Author(s):  
Gabriela Ribeiro de Oliveira ◽  
Felipe Sant'Maria Naques ◽  
Vivian Zampieri de Souza ◽  
Rodolpho Cesar Oliveira Mellem Kairala ◽  
Maria Clara Nobrega Pereira ◽  
...  
Keyword(s):  
Case Report ◽  
Hiatal Hernia ◽  
Acute Abdomen ◽  
Type Iv

PS01.072: IT IS NOT ALWAYS RISKY USING MESH IN THE TREATMENT OF HIATAL HERNIA

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 69-69
Author(s):  
Maximiliano Loviscek ◽  
Mauro Acosta ◽  
Oscar Crespin ◽  
Guido Orbe ◽  
Cesar Villamil ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Conflicts Of Interest ◽  
Synthetic Mesh ◽  
Gastric Erosion ◽  
Type I ◽  
Intrathoracic Stomach ◽  
Type Iii ◽  
Type Iv ◽  
Low Incidence

Abstract Background Many studies have shown that the importance of using mesh for paraesophageal hernia repair (PEHR) is to prevent recurrence. Unfortunately, it is associated with high risk of complications such as esophageal or gastric erosion. The aim of this study is to report the results of 38 patients who underwent laparoscopic PEHR with the use of a BioSynthetic mesh (GoreÒ Bio AÒ tissue Reinforcement.USA). Methods Observational, retrospective, single-center cohort study. We analysed retrospectively 38 consecutive patients with diagnosis of symptomatic Hiatal Hernia (HH) treated laparoscopically with an absorbable BioSynthetic mesh, between 2011–2017. The classic radiologic classification was used to classify the HH before surgery. This classification consists in four types/stages (I-IV). I: Sliding HH, II: Paraesophageal HH, III: Mixed form and IV: Intrathoracic stomach—upside-down hernia. All patients with Type III—IV hiatal hernia who underwent laparoscopic PEHR using an absorbable BioSynthetic mesh were included. We evaluated the results after PEHR with a symptoms questionnaire using a score 0–4 (Likert scale) and with an esophagogram and an esophagogastroduodenoscopy (EGD) analyzing the surgical success. Success was considered with symptomatic score improvement and/or absence of any symptomatic HH at the esophagogram and/or EGD. Results 38 patients: 7 males and 31 women. Median age: 66 (range 40–71). 12/38 (31,6%) patients had a type III HH and 26/38 (68,4%) a type IV. All these patients had been treated with a laparoscopic PEHR, using an absorbable BioSynthetic mesh as a reinforcement of the crura and Nissen fundoplication. The median follow-up was 12 months. 16/38 (42%) had a follow-up > 24 months. Success was evident in 95% of the patients. We observed 2 recurrences, one with a symptomatic type I HH and the other with an early type III HH recurrence. Conclusion The use of an absorbable synthetic mesh as a reinforcement of the crura in the treatment of the PEH has encouraging good results in the mild term follow up, with an extremely low incidence of complications. Disclosure All authors have declared no conflicts of interest.

Diagnosis and Surgical Treatment of a Congenital Type-IV Hiatal Hernia in a German Shepherd Pup

2020 ◽  
pp. 1
Author(s):  
Mohamed Shafiuzama ◽  
Mohamed Ali ◽  
K Gayathri ◽  
M Bharathidasan ◽  
G Shriram ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hiatal Hernia ◽  
German Shepherd ◽  
Type Iv

Severe type IV hiatal hernia secondary to congenital shortened esophagus

2017 ◽  
Vol 30 (10) ◽  
pp. 1-3
Author(s):  
Samantha Weller ◽  
Christin Powers ◽  
Bethany Sly ◽  
Nata Parnes ◽  
Mario James Ciani
Keyword(s):  
Hiatal Hernia ◽  
Type Iv ◽  
Severe Type

A Rare Case of Pancreatitis Due to Trans-Hiatal Herniation of the Pancreas Within a Type IV Hiatal Hernia

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S730
Author(s):  
Patrick Chen ◽  
David Do ◽  
Steve Mudroch ◽  
Rajan Prakash ◽  
Padmini Krishnamurthy
Keyword(s):  
Hiatal Hernia ◽  
Rare Case ◽  
Type Iv

scholarly journals Case report: Type IV paraesophageal hernia

2015 ◽  
Vol 5 (1) ◽  
pp. 36-39
Author(s):  
Joshua Hefler
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Surgical Repair ◽  
Large Defect ◽  
Type Iv ◽  
Gastric Obstruction ◽  
Paraesophageal Hiatal Hernia ◽  
Over Time

This case report is about a 43 year old man, who presented with a large paraesophageal hiatal hernia. Hiatal hernias are common and often asymptomatic. However, this patient’s hernia was caused by a large defect in his diaphragm, into which his stomach, multiple loops of small bowel and even part of his colon had herniated, causing recurrent gastric obstruction. While this is a condition that develops slowly, over time in most patients, this case of hiatal hernia likely results from a congenital defect, given his relatively young age, the size of the defect and his associated anatomical abnormalities. This report details his presentation and surgical repair, complemented with corresponding images.

scholarly journals Chest Pain: A Relatively Benign Symptom of Type IV Hiatal Hernia

Cureus ◽  
2020 ◽  
Author(s):  
Muhammad Z Khan ◽  
Hamza Yousaf ◽  
Dushyant S Dahiya ◽  
Farah Wani ◽  
Asim Kichloo
Keyword(s):  
Chest Pain ◽  
Hiatal Hernia ◽  
Type Iv

scholarly journals Concomitant Laparoscopic Hiatal Hernia Repair With Cholecystectomy: A Multicentric Study

2020 ◽  
Author(s):  
paul zarogoulidis ◽  
Silviu-Daniel Preda ◽  
Sapalidis Konstantinos ◽  
Vasile Virgil Bințintan ◽  
Daniel Alin Cristian ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Operating Time ◽  
Hiatal Hernia Repair ◽  
Type I ◽  
Multicentric Study ◽  
Type Iv ◽  
Concomitant Surgery ◽  
Laparoscopic Hiatal Hernia Repair ◽  
Feasible Option

Abstract Introduction Concomitant surgery refers to performing two or more surgical operations on one patient under the same anesthesia. Patients and Methods We performed a retrospective multicentric study from October 2016 to October 2019, analyzing patients who underwent laparoscopic hiatal hernia repair. We extracted data of patients who underwent concomitant laparoscopic surgery for both hiatal hernia repair and cholecystectomy in the following Clinics: 1st Clinic of Surgery of Craiova Emergency Clinical County Hospital, “Colțea” Hospital, 3rd Clinic of Surgery of Cluj-Napoca and 3rd Surgery Clinic of University General Hospital of Thessaloniki and identified 20 patients who underwent hiatal hernia repair and had an added cholecystectomy. Allocation of data by hiatal hernia type showed 6 type IV hernia (complex hernia), 13 type III hernias (mixed type) and 1 type I hernia (sliding hernia). Out of the 20 cases analyzed, 19 were chronic cholecystitis and one patient presented with acute cholecystitis.Average operating time was 168 minutes. Blood loss was minimum. Cruroraphy was performed in all cases, mesh reinforce was added in 5 cases, and fundoplication was added in all cases: 3 Toupet, 2 Dorr and 15 Floppy-Nissen. Fundopexy was routinely added in cases with Toupet fundoplication. Cholecystectomy was performed in the following manner: 19 retrograde, 1 bipolar. Results All patients had favorable postoperative evolution. Patient follow up was at 1 month, 3 months and 6 months, with no sign of recurrence for hiatal hernia (anatomical or symptomatic) and no postcholecystectomy syndrome. In conclusion concomitant laparoscopic hiatal hernia repair and cholecystectomy is a safe and feasible option for patients with indication of surgery for both pathologies.

Sign in / Sign up

Export Citation Format

Share Document