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. 2014 Mar;9(1):13-7.
doi: 10.5114/wiitm.2014.40174. Epub 2014 Jan 25.

Laparoscopic surgery of esophageal hiatus hernia - single center experience

Jacek Piątkowski  1 , Marek Jackowski  1 , Jacek Szeliga  1
Affiliations

Laparoscopic surgery of esophageal hiatus hernia - single center experience

Jacek Piątkowski et al. Wideochir Inne Tech Maloinwazyjne. 2014 Mar.

Abstract

Introduction: Esophageal hiatal hernias are the most frequent types of internal hernias. This condition involves disturbance of normal functioning of the stomach cardiac mechanism and reflux of the gastric contents to the esophagus.

Aim: To evaluate postoperative results in our Clinic and the comparison of these results to data from the literature.

Material and methods: One hundred and seventy-eight patients underwent surgery due to esophageal hiatal hernia at the Clinic of General, Gastroenterological and Oncological Surgery, Collegium Medicum, Bydgoszcz, Nicolaus Copernicus University, Torun, Poland, from 2006 to 2011. All operations were performed using laparoscopy. Fundoplication by means of the Nissen-Rossetti method was carried out in 172 patients while Toupet's and Dor's methods were applied in 4 and 2 patients, respectively.

Results: Average time of the surgery was 82 min (55-140 min). Conversion was performed in 4 cases. No serious intraoperative complications were noted. In the postoperative period, dysphagia was reported in 20 patients (11.2%). Postoperative wound infection was observed in 1 patient (0.56%). Hernias in the trocar insertion area were reported in 3 patients (1.68%). Ailments recurred in 6 patients. The recurrence of esophageal hiatal hernia was confirmed in 2 patients. Patients with recurrent hernia were re-operated using a laparoscopic approach.

Conclusions: Laparoscopic surgery is a simple and effective approach for patients with gastroesophageal reflux symptoms due to diaphragmatic esophageal hiatus hernia. The number of complications is lower after laparoscopic procedures than after "open" operations.

Keywords: fundoplication; hiatal hernia; laparoscopy.

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References

    1. Stanowski E. Gastroesophageal disease – indications and methods of surgiacl treatments [Polish] Videochirurgia. 1998;1:6–11.
    1. Stanowski E. Laparoscopic antireflux surgery – the choice of treatment – own experience [Polish] Pol Przegląd Chir. 2001;73:919–23.
    1. Perdikis G, Hindre RA, Lund RJ. Laparoscopic Nissen fundoplication. Where do we stand? Surg Laparosc Endoscopy. 1997;7:17–21. - PubMed
    1. Tarnowski W, et al. Laparoscopic surgery in the treatment of gastroesophageal reflux [Polish] Pol Przegląd Chir. 2001;73:924–31.
    1. Peters JH, De Meester TR. Indications, principles of procedure selection and technique of laparoscopic Nissen fundoplication. Seminars Laparosc Surg. 1995;2:27–44.

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