scholarly journals A Case of Laparoscopic Hernia Repair for Esophageal Hiatal Hernia Involving the Transverse Colon after Laparoscopic Proximal Gastrectomy

2021 ◽  
Vol 54 (12) ◽  
pp. 846-852
Author(s):  
Junji Maehara ◽  
Nobue Futawatari ◽  
Yusuke Akimoto ◽  
Ryutaro Watanabe ◽  
Yoko Hashimoto ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Transverse Colon ◽  
Laparoscopic Hernia Repair ◽  
Proximal Gastrectomy ◽  
Esophageal Hiatal Hernia ◽  
Laparoscopic Proximal Gastrectomy

scholarly journals Strangulation of the stomach and the transverse colon following laparoscopic esophageal hiatal hernia repair

2012 ◽  
Vol 4 ◽  
pp. 311-314
Author(s):  
Jacek Hermann ◽  
Tomasz Kościński ◽  
Stanisław Malinger ◽  
Jacek Szmeja ◽  
Michał Monkiewicz ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Transverse Colon ◽  
Hiatal Hernia Repair ◽  
Esophageal Hiatal Hernia

532 OUTCOME OF QUILICI’S HEPATIC SHOULDER PROCEDURE TO AUGMENT LAPAROSCOPIC HIATOPLASTY IN LARGE OR RECURRENT HIATAL HERNIA

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Johannes Zacherl ◽  
Viktoria Kertesz ◽  
Cordula Höfle ◽  
Lisa Gensthaler ◽  
Bernhard Eltschka ◽  
...  
Keyword(s):  
High Risk ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Laparoscopic Hernia Repair ◽  
Perioperative Complications ◽  
Recurrent Hernia ◽  
Hernia Recurrence ◽  
Hiatal Hernia Repair ◽  
Laparoscopic Hiatal Hernia Repair

Abstract   Laparoscopic hiatoplasty and fundoplication is the gold standard of surgical treatment of GERD and hiatal hernia. However, the main drawback of laparoscopic hiatal hernia repair is a substantial recurrence rate. Hence, prosthetic meshs have been used to reduce the risk for recurrence. But meshs may cause major complications. As a consequence we adopted the hepatic shoulder plasty described by Quilici to augment the hiatal hernia repair in patients with a high risk for hernia recurrence. Methods Patients with large (>4 cm) axial hiatal hernia, giant paraesophageal or with recurrent hernia consecutively underwent laparoscopic hernia repair with crural sutures and hepatic shoulder plasty. A Toupet or a floppy Nissen fundoplication was added. In patients with giant paraesophageal hernia the hernia sack was resected. Perioperative complications were recorded. Follow-up comprised endoscopy and/or radiography and QoL-evaluation with the Eypasch score (GIQLI). Results Between 2012 and 2018 51 patients (mean age 71 years, 65% female) underwent Quilici’s procedure. Among them 33,3% had one or more previous hiatal hernia repair. There were no conversions. Postoperative complication rate was 7.8%. At follow-up after 2 years 6 recurrences (12%) were encountered, 4 of them were symptomatic (8%). One patient underwent reoperation due to hernia recurrence. In 84% QoL was significantly improved at follow-up. Conclusion In patients with high risk of recurrence, biological augmentation of the hiatal closure with the left lobe of the liver may be a valuable alternative to prosthetic reinforcement. We observed no complication attributable to liver lobe transposition.

scholarly journals Intrathoracic Hernia after Total Gastrectomy

2016 ◽  
Vol 10 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Yoshihiko Tashiro ◽  
Masahiko Murakami ◽  
Koji Otsuka ◽  
Kazuhiko Saito ◽  
Akira Saito ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Anastomotic Leakage ◽  
Total Gastrectomy ◽  
Transverse Colon ◽  
Proximal Gastrectomy ◽  
Abdominal Cavity ◽  
Roux Limb ◽  
X Rays ◽  
Thoracic Cavity ◽  
Laparoscopic Proximal Gastrectomy

Intrathoracic hernias after total gastrectomy are rare. We report the case of a 78-year-old man who underwent total gastrectomy with antecolic Roux-Y reconstruction for residual gastric cancer. He had alcoholic liver cirrhosis and received radical laparoscopic proximal gastrectomy for gastric cancer 3 years ago. Early gastric cancer in the remnant stomach was found by routine upper gastrointestinal endoscopy. We initially performed endoscopic submucosal dissection, but the vertical margin was positive in a pathological result. We performed total gastrectomy with antecolic Roux-Y reconstruction by laparotomy. For adhesion of the esophageal hiatus, the left chest was connected with the abdominal cavity. A pleural defect was not repaired. Two days after the operation, the patient was suspected of having intrathoracic hernia by chest X-rays. Computed tomography showed that the transverse colon and Roux limb were incarcerated in the left thoracic cavity. He was diagnosed with intrathoracic hernia, and emergency reduction and repair were performed. Operative findings showed that the Roux limb and transverse colon were incarcerated in the thoracic cavity. After reduction, the orifice of the hernia was closed by suturing the crus of the diaphragm with the ligament of the jejunum and omentum. After the second operation, he experienced anastomotic leakage and left pyothorax. Anastomotic leakage was improved with conservative therapy and he was discharged 76 days after the second operation.

scholarly journals A Case of Esophageal Hiatal Hernia with Incarcerated Transverse Colon

2004 ◽  
Vol 37 (5) ◽  
pp. 479-482 ◽  
Author(s):  
Yukihiro Itabashi ◽  
Toshiaki Baba ◽  
Satoru Kato ◽  
Mutsuo Sasaki
Keyword(s):  
Hiatal Hernia ◽  
Transverse Colon ◽  
Esophageal Hiatal Hernia

scholarly journals A CASE OF ESOPHAGEAL HIATAL HERNIA WITH INCARCERATED AND PERFORATED STOMACH AND TRANSVERSE COLON

2004 ◽  
Vol 65 (2) ◽  
pp. 362-365 ◽  
Author(s):  
Norimitsu TANAKA ◽  
Minoru HAISA ◽  
Nobuhiro KAWASAKI ◽  
Toshihisa YAMANO ◽  
Yasuhiro YUNOKI ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Transverse Colon ◽  
Esophageal Hiatal Hernia

scholarly journals A case of esophageal hiatal hernia with incarcerated stomach, duodenum and transverse colon.

2000 ◽  
Vol 61 (10) ◽  
pp. 2631-2635 ◽  
Author(s):  
Izumi EDA ◽  
Kouya SUEMITSU ◽  
Masaaki YANO ◽  
Ichiro SUTOH ◽  
Akio OTSUKA
Keyword(s):  
Hiatal Hernia ◽  
Transverse Colon ◽  
Esophageal Hiatal Hernia

scholarly journals Esophageal hiatal hernia in a patient with incarcerated transverse colon

2013 ◽  
Vol 74 (3) ◽  
pp. 668-671
Author(s):  
Kazuho INOKO ◽  
Katsuhiko MURAKAWA ◽  
Yoshiyuki YAMAMURA ◽  
Aki KURODA ◽  
Junkichi KOINUMA ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Transverse Colon ◽  
Esophageal Hiatal Hernia

scholarly journals A Case of Esophageal Hiatal Hernia Presenting with Duodenal Obstruction and an Incarcerated Transverse Colon

2018 ◽  
Vol 79 (6) ◽  
pp. 1204-1208
Author(s):  
Takuro FUSHIMI ◽  
Takahiro YOSHIOKA ◽  
Toshihiro MURATA ◽  
Hirokazu UETSUKA ◽  
Masashi UDA ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Transverse Colon ◽  
Duodenal Obstruction ◽  
Esophageal Hiatal Hernia
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