Diaphragmatic Crural Eversion: Mid-Term Data of a Novel Technique to Optimize Hiatoplasty during Laparoscopic Repair of Hiatal Hernia

Hiatoplasty is an essential component of laparoscopic hiatal hernia repair (LHHR).1 Suboptimal hiatoplasty is the most common cause for recurrence of hiatal hernia.2 The surgical emphasis for reconstruction of an antireflux barrier focused mainly on the creation of an ideal fundoplication, and littl...

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Bibliographic Details
Published in:The American surgeon 2020-01, Vol.86 (1), p.17-19
Main Author: Fanous, Medhat
Format: Article
Language:English
Subjects:
Aged
Cohort Studies
Dysphagia
Endoscopy
Esophagus
Female
Fundoplication - methods
Gastroesophageal reflux
Hernia
Hernia, Hiatal - diagnosis
Hernia, Hiatal - surgery
Hernias
Herniorrhaphy - methods
Humans
Intraoperative Care - methods
Laparoscopy
Laparoscopy - methods
Laparotomy - methods
Male
Middle Aged
Optimization
Prognosis
Questionnaires
Retrospective Studies
Risk Assessment
Severity of Illness Index
Side effects
Surgeons
Surgery
Surgical Mesh
Surgical techniques
Suture Techniques
Tomography, X-Ray Computed - methods
Treatment Outcome
Wei-Wei (1957- )
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Summary:Hiatoplasty is an essential component of laparoscopic hiatal hernia repair (LHHR).1 Suboptimal hiatoplasty is the most common cause for recurrence of hiatal hernia.2 The surgical emphasis for reconstruction of an antireflux barrier focused mainly on the creation of an ideal fundoplication, and little attention was directed toward optimization of hiatoplasty. [...]endoscopic fundoplication does not require securing the wrap to the crura, which is a common practice in laparoscopic fundoplication. [...]TIF produces partial fundoplication with less side effects of dysphagia.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313482008600110