Giant hiatal hernia

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.

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

International Journal of Medical Robotics and Computer Assisted Surgery ◽

10.1002/rcs.1595 ◽

2014 ◽

Vol 11 (1) ◽

pp. 1-7 ◽

Cited By ~ 14

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

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

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz189 ◽

2019 ◽

Vol 2019 (6) ◽

Cited By ~ 4

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.

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The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2010.03.022 ◽

2010 ◽

Vol 89 (6) ◽

pp. S2168-S2173 ◽

Cited By ~ 64

Author(s):

Mohi O. Mitiek ◽

Rafael S. Andrade

Keyword(s):

Hiatal Hernia ◽

Giant Hiatal Hernia

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Gasless laparoscopic surgery plus abdominal wall lifting for giant hiatal hernia—our single-center experience

Journal of Huazhong University of Science and Technology [Medical Sciences] ◽

10.1007/s11596-016-1685-5 ◽

2016 ◽

Vol 36 (6) ◽

pp. 923-926 ◽

Cited By ~ 2

Author(s):

Jiang-hong Yu ◽

Ji-xiang Wu ◽

Lei Yu ◽

Jian-ye Li

Keyword(s):

Laparoscopic Surgery ◽

Abdominal Wall ◽

Hiatal Hernia ◽

Single Center ◽

Single Center Experience ◽

Giant Hiatal Hernia ◽

Abdominal Wall Lifting

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Low-dose combined spinal-epidural anesthesia for a patient with a giant hiatal hernia who underwent urological surgery

Journal of International Medical Research ◽

10.1177/0300060518793800 ◽

2018 ◽

Vol 46 (10) ◽

pp. 4354-4359 ◽

Cited By ~ 1

Author(s):

Mi Kyeong Kim ◽

Junoik Shin ◽

Jeong-Hyun Choi ◽

Hee Yong Kang

Keyword(s):

Hiatal Hernia ◽

Epidural Catheter ◽

Epidural Anesthesia ◽

Low Dose ◽

Intrathecal Injection ◽

Vital Signs ◽

Esophageal Hiatus ◽

Urological Surgery ◽

Gastrointestinal Problems ◽

Giant Hiatal Hernia

A hiatal hernia refers to herniation of the abdominal organs through the esophageal hiatus of the diaphragm. A giant hiatal hernia affects digestive and cardiopulmonary function by compressing the organs. We report a patient who had low-dose combined spinal and epidural anesthesia (CSEA) for safe and effective anesthesia for conservative treatment of a giant hiatal hernia. An 84-year-old woman who had a giant hiatal hernia was scheduled for ureteroscopic removal of a ureteral stone. CSEA was performed at the L4 to L5 lumbar interspace and an epidural catheter tip was placed 5 cm cephalad from the inserted level. The T12 block was checked after 10 minutes of intrathecal injection of 6 mg of 0.5% bupivacaine. The T10 block was checked after additional injection of 80 mg of 2% lidocaine through the epidural catheter. During anesthesia and surgery, the patient's vital signs remained stable and the operation was completed within 1 hour without any problems. In conclusion, low-dose CSEA may be safely used without any cardiopulmonary and gastrointestinal problems in patients with a giant hiatal hernia undergoing urological surgery.

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