[Videolaparoscopic treatment of paraesophageal hiatal hernia].

Abstract

STUDY AIM:

The aim of this prospective study was to report the results of videolaparoscopic repair in a series of ten patients with paraesophageal hernia.

PATIENTS AND METHODS:

From January 1982 to September 1998, ten patients (three men and seven women, mean age: 68 years [range: 42-87]) were operated on for paraesophageal hernia. An intrathoracic gastric volvulus was present in four patients, a severe anemia in four and two were asymptomatic. All interventions were performed laparoscopically and included sac resection, crura closure and realization of a posterior gastric valve on 270 degrees.

RESULTS:

There was one irruption of gastric juice in the bronchial tree at the beginning of the anesthesia which required assisted ventilation for 3 days. The mean follow-up was 17.5 months (range: 3-50). There was no postoperative diarrhea and no gas bloat syndrome. Eight patients complained of postoperative dysphagia which disappeared within 6 weeks, except in one patient with esophageal motility disorder postoperatively discovered. None of the patients had postoperative gastroesophageal reflux. A chest X-ray performed after 1 year detected no hernia recurrence in seven patients. There was no recurrent anemia after 6 months.

CONCLUSION:

The videolaparoscopic repair of paraesophageal hernias is feasible without any technical difficulties even in aged patients with precarious physical conditions. The results are good with a mean follow-up of 17.5 months.

• Authors: H Mosnier, J Leport, A Aubert, L Guibert, F Caronia
• Journal: Chirurgie; memoires de l'Academie de chirurgie (Chirurgie) Vol. 123 Issue 6 Pg. 594-9; discussion 598-9 (Dec 1998) ISSN: 0001-4001 [Print] France
• Vernacular Title: Traitement vidéolaparoscopique des hernies hiatales par roulement.
• PMID: 9922600 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Anemia (etiology)
• Deglutition Disorders (etiology)
• Diaphragm (surgery)
• Esophageal Motility Disorders (diagnosis)
• Feasibility Studies
• Female
• Follow-Up Studies
• Gastric Juice (metabolism)
• Hernia, Hiatal (complications, surgery)
• Humans
• Laparoscopy (adverse effects)
• Male
• Middle Aged
• Pneumonia, Aspiration (etiology)
• Prospective Studies
• Stomach (surgery)
• Stomach Volvulus (etiology)
• Video Recording