Laparoscopic treatment of giant paraoesophageal hernias |
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Authors: | D Collet P Ledaguenel J Périssat |
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Affiliation: | (1) Department of Surgery, CHU de Bordeaux, Maison du Haut Lévèque, F-33604 Pessac, France |
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Abstract: | Summary The authors report their experience of laparoscopic repair of large paraoesophageal hernias (POH). From February 1994 to January
1997, nine patients with a large POH containing at least 50% of the stomach have been treated laparoscopically. The surgical
procedure included reduction of the herniated stomach, closure of the hiatal orifice, and construction of a circular fundoplication.
There was no conversion into open surgery. One case of postoperative atelectasis was seen (morbidity: 12.5%). Postoperative
X-Ray demonstrated the restoration of a normal anatomical arrangements as well as an effective anti-reflux fundoplication.
Laparoscopy makes it possible to safely and efficiently repair large POHs with an acceptable morbidity. However, this type
of operation requires a good training in laparoscopic surgery. |
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Keywords: | Hiatal hernia Surgery Laparoscopy Fundoplication |
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