Hiatus Hernia

1968 ◽  
Vol 13 (4) ◽  
pp. 103-109 ◽  
Author(s):  
P. R. Walbaum ◽  
R. J. M. McCormack
Keyword(s):  
Hernia Repair ◽  
Medical Treatment ◽  
Hiatus Hernia ◽  
Small Proportion ◽  
The Elderly ◽  
Safe Procedure ◽  
Oesophageal Stricture ◽  
Sliding Hernia

Hiatus hernia is a frequent cause of distressing symptoms. The present attitude to this condition is reviewed on the basis of reports in the literature and a personal series of 224 patients. Oesophagoscopy must be a routine part of investigation. There is a tendency to persevere too long with medical treatment. Hernia repair is a safe procedure even in the elderly and the results are good. Results of repair of para-oesophageal hernia are almost uniformly excellent and this type of hernia should always be treated surgically. Repair of sliding hernia should be advised if a few months of medical treatment fail to relieve symptoms or if oesophagitis is present, and good results can be expected in about 90 per cent of uncomplicated cases. When an oesophageal stricture has developed the results of hernia repair are less good but a good result is still achieved in 70 per cent of patients. A small proportion of patients with fibrous strictures require resection.

Laparoscopic Incisional and Ventral Hernia Repair with Absorbable Tacks in a Long Term Follow-up: A Retrospective Control Study

2019 ◽  
Vol 14 (2) ◽  
pp. 141-146
Author(s):  
Simone Zanella ◽  
Enrico Lauro ◽  
Francesco Franceschi ◽  
Francesco Buccelletti ◽  
Annalisa Potenza ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
The Elderly ◽  
Long Term Follow Up ◽  
Group A ◽  
Group B ◽  
Absorbable Tacks

Background: Laparoscopic Incisional and Ventral Hernia Repair (LIVHR) is a safe and worldwide accepted procedure performed using absorbable tacks. The aim of the study was to evaluate recurrence rate in a long term follow-up and whether the results of laparoscopic IVH repair in the elderly (≥65 years old) are different with respect to results obtained in younger patients. Methods: One hundred and twenty-nine consecutive patients (74 women and 55 men, median age 67 years, range = 30-87 years) with ventral (N = 42, 32.5%) or post incisional (N = 87, 67.5%) hernia were enrolled in the study. Patients were divided into two groups according to their age: group A (N = 55, 42.6%) aged <65 years and group B (N = 74, 57.4%) aged ≥65 years. Results: The mean operative time was not significantly different between groups (66.7 ± 37 vs. 74 ± 48.4 min, p = 0.4). To the end of 2016, seven recurrences had occurred (group A = 3, group B = 4, p = 1). Complications occurred in 8 (16%) patients in group A and 21 (28.3%) patients in group B. Conclusion: In conclusion, our results confirm that the use of absorbable tacks does not increase recurrence frequency and laparoscopic incisional and ventral repair is a safety procedure also in elderly patients.

Spontaneous oesophageal perforation after laparoscopic hiatus hernia repair

2014 ◽  
Vol 85 (11) ◽  
pp. 887-888
Author(s):  
Martyn L. Humphreys ◽  
Bevan Jenkins ◽  
Jason Robertson ◽  
Michael Rodgers
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia ◽  
Oesophageal Perforation

657 ROUTINE ESOPHAGRAMS FOLLOWING HIATUS HERNIA REPAIR MINIMISES REOPERATIVE MORBIDITY: A MULTICENTER COMPARATIVE COHORT STUDY

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
David Liu ◽  
Melissa Wee ◽  
James Grantham ◽  
Bee Ong ◽  
Stephanie Ng ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia ◽  
Functional Outcomes ◽  
Gastric Resection ◽  
Postoperative Morbidity ◽  
Early Complications ◽  
Esophageal Obstruction ◽  
Comparative Cohort Study ◽  
One Year

Abstract   Hiatus hernia repairs are common. Early complications such as re-herniation, esophageal obstruction and perforation, although infrequent, incur significant morbidity. Here, we determine whether routine postoperative esophagrams following hiatus hernia repair may expedite the surgical management of these complications, reduce reoperative morbidity, and improve functional outcomes. Methods Analysis of a prospectively-maintained database of 1829 hiatus hernia repairs undertaken in 14 hospitals from 1 January 2000 to 30 September 2020. 1571 (85.9%) patients underwent a postoperative esophagram which was reviewed. An early (&lt;14 days) reoperation was performed in 44 (2.4%) patients. Results Compared to those without an esophagram, patients who received one prior to reoperation (n = 37) had a shorter time to diagnosis (2.4 vs. 3.9 days, p = 0.041) and treatment (2.4 vs. 4.3 days, p = 0.037) of their complications. This was associated with decreased open surgery (10.8% vs. 42.9%, p = 0.034), gastric resection (0.0% vs. 28.6%, p = 0.022), postoperative morbidity (13.5% vs. 85.7%, p &lt; 0.001), ICU admission (16.2% vs. 85.7%, p &lt; 0.001), and length-of-stay (7.3 vs. 18.3 days, p = 0.009). Furthermore, patients who underwent early reoperations for asymptomatic re-herniation had less complications and superior functional outcomes at one-year follow-up than those who needed surgery for symptomatic recurrences later on. Conclusion Postoperative esophagrams decreases the morbidity associated with early and late reoperations following hiatus hernia repair, and should be considered for routine use.

Should we perform elective inguinal hernia repair in the elderly?

Hernia ◽  
2016 ◽  
Vol 21 (1) ◽  
pp. 51-57 ◽  
Author(s):  
J. J. Wu ◽  
B. C. Baldwin ◽  
E. Goldwater ◽  
T. C. Counihan
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
The Elderly

Three versus five lumbar paravertebral injections for inguinal hernia repair in the elderly: a randomized double-blind clinical trial

2018 ◽  
Vol 33 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Zoher Naja ◽  
Saleh Kanawati ◽  
Ziad El Khatib ◽  
Fouad Ziade ◽  
Rakan Nasreddine ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
The Elderly ◽  
Double Blind ◽  
Double Blind Clinical Trial

Long-term outcomes of laparoscopic large hiatus hernia repair with nonabsorbable mesh

2018 ◽  
Vol 31 (5) ◽  
Author(s):  
A C Gordon ◽  
C Gillespie ◽  
J Son ◽  
T Polhill ◽  
S Leibman ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia ◽  
Long Term Outcomes ◽  
Large Hiatus Hernia

A634 Revisional surgery from RYGB to sleeve gastrectomy plus JJB and hiatus hernia repair

2019 ◽  
Vol 15 (10) ◽  
pp. S259-S260
Author(s):  
Jingge Yang ◽  
Bingsheng Guan ◽  
Tsz Hong Chong ◽  
Juzheng Peng ◽  
Cunchuan Wang
Keyword(s):  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatus Hernia ◽  
Revisional Surgery

P6218Greater burden of risk factors and need of cardiac rehabilitation in elderly patients with lower educational attainment

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
I Kjesbu ◽  
N Mikkelsen ◽  
K Sibilitz ◽  
M Wilhelm ◽  
C P Gil ◽  
...  
Keyword(s):  
Risk Factors ◽  
Educational Attainment ◽  
Cardiac Rehabilitation ◽  
Medical Treatment ◽  
Exercise Capacity ◽  
Basic Education ◽  
The Elderly ◽  
P Value ◽  
Ageing Population ◽  
Coronary Syndrome

Abstract Background A socioeconomic gap in cardiac rehabilitation (CR) has been described in younger populations but whether this is also true in the ageing population is unknown. Purpose To describe if poorer education is a predictor for exercise capacity, comorbidity, lifestyle- and risk factors and medical treatment at baseline in CR in an elderly population. Methods The observational EU-CaRE study is a European prospective study with eight participating CR centers in seven countries (Denmark, France, Germany, the Netherlands, Italy, Spain and Switzerland). Patients aged 65 or older with CHD or valve surgery participating in CR were consecutively included. Educational attainment was divided into basic, intermediate and high Results A total of 1626 patients were included. Educational attainment differed across centers (p<0.001). The groups differed little regarding index event, comorbidity and medical treatment. However, patients with only basic education had more diabetes, higher BMI, less physical activity, lower exercise capacity and higher scores for depression (PHQ 9) and anxiety (GAD). Differences were not affected by adjustment for age, gender and country. Demographics and risk factor control N=1626 High (N=388) Intermediate (N=788) Basic (N=460) p-value* DEMOGRAPHICS Age (yrs), median (IQR) 72 (68, 76) 71 (68, 75) 74 (70, 78) <0.001 Men 330 (86.8%) 603 (79.3%) 291 (67.4%) <0.001 RISK FACTORS p-value** LDL >1.8 mmol/l*** 255 (66.1%) 518 (66.8%) 293 (63.7%) 0.060 Systolic BP >140 mmHg 85 (22.0%) 179 (23.1%) 100 (21.7%) 0.601 Smoker 26 (6.8%) 80 (10.3%) 46 (10.0%) 0.214 Moderate exercise <4days/week 179 (46.4%) 340 (43.9%) 271 (58.9%) 0.024 BMI >27 kg/m2 133 (35.5%) 389 (50.2%) 255 (55.4%) <0.001 VO2 peak <80% of predicted 220 (57.0%) 443 (57.2%) 252 (54.8%) 0.037 HbA1c >48mmol/mol*** 115 (29.8%) 264 (34.1%) 230 (50.0%) <0.001 Diet score, mean (SD) 6.50 (2.28) 5.93 (2.47) 7.32 (2.35) <0.001 GAD score, median (IQR) 2.0 (0.0,4.0) 2.0 (0.0,5.0) 3.5 (0.0,7.0) 0.051 PHQ-9 score, median (IQR) 4.0 (1.0,7.0) 4.0 (1.0,7.0) 6.0 (2.0,10.0) 0.020 Abbreviations: IQR, interquartile range; SD, standard deviation; ACS, acute coronary syndrome; CAD, coronary artery disease. *Adjusted for center. **Adjusted for center, age, gender. ***Only for ischemic heart disease patients. Conclusions The results emphasize the need of CR in this patient-group and that a targeted CR approach should be considered to achieve equal health opportunities also in the elderly. Acknowledgement/Funding Horizon2020

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