The efficacy of Heller’s esophagocardiomyotomy with Dor la esofagocardiomiotomía de Heller con funduplicatura de Dor por laparoscopia. Se realizó funduplicatura D’Or en 35 casos, Nissen en 35, Toupet en 14, cierre simple de pilares en 2, Narbona en 1 y Lortat-Jakob en 1; en 10 pacientes se. A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via In a Dor (anterior) fundoplication, the fundus is laid over the top of the.

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Views Read Edit View history. Two of them had undergone open D’Or fundoplication; in both cases Nissen’s technique was used, in one of them with mesh placement. Clinical manifestations are showed in table I. Aust N Z J Surg ; In all patients in our series an antireflux technique or gastropexy was funduplicatrua, except in 2 patients in which simply a pillar closure was performed.

In some cases, the purpose of this operation is to correct excessive vomiting. Anal sphincterotomy Anorectal manometry Lateral internal sphincterotomy Rubber band ligation Transanal hemorrhoidal dearterialization. Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty.

An OP was performed in all cases. Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.

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All of them reported pyrosis and 2 reported dysphagia, symptoms that were controlled using proton-pump inhibitors PPIs. If the symptoms warrant a repeat surgery, the surgeon may use Marlex or another form of artificial mesh to strengthen the connection.

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Deceased patients and those lost to follow-up were excluded. The third one was a laparoscopic Nissen, and the reintervention was a Nissen procedure with mesh placement. Whenever the stomach contracts, it also closes off the esophagus instead of squeezing stomach acids into it.

Retrieved from ” https: Therefore, we think that laparoscopic surgery should be considered as the election procedure for paraesophageal hiatal hernia. Time between surgery and recurrence was 1, 2. Nissen fundoplication Diagram of a Nissen fundoplication.

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By using this site, you agree to the Terms of Use and Privacy Policy. In the absence of conclusive studies its main indication is large hernias and hernia recurrence.

A prosthetic mesh was placed in 8 cases during OP Small bowel Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty. Fecal fat test Fecal pH test Stool guaiac test.

Outcomes have improved in recent years, especially at the most skilled and successful clinics [ citation needed ]. Vomiting is sometimes impossible or, if not, very painful after a fundoplication, with the likelihood of this complication typically decreasing in the months after surgery. We consider that mesh is indicated for large hernias, in which pillar repair may be tense, as well as in relapsing hernia.

Therefore, we think that laparoscopic surgery should be considered the approach of choice for the treatment of paraesophageal hiatal hernia. Its importance is based on the severe complications it may have, such as obstruction, gastric perforation or gastric mucosal bleeding.


During follow-up we analyzed all other 84 patients Fundupliactura repair of paraeophageal hernia. Follow-up with imaging tests should be performed for an indeterminate period of time.

Frey’s procedure Pancreas transplantation Pancreatectomy Pancreaticoduodenectomy Puestow procedure. Ninety patients were included, 22 males Surgical repair has shown to be useful, and nowadays the debate focuses on checking whether the laparoscopic approach is as effective and brings the universal advantages of minimally invasive surgery.

Hernia de hiato paraesofágica: cirugía laparoscópica vs. cirugía abierta

Data were collected on age, sex, clinical signs and symptoms, diagnostic studies, surgical technique, postoperative complications, and hospital stay. Mid term analysis of safety and quality of life after the laparoscopic repair of paraeophageal hiatal hernia.

The offending gas may also fundupliactura from dietary sources especially carbonated beveragesor involuntary swallowing of air aerophagia. Eighty patients expressed their satisfaction or high satisfaction with surgery results, including 2 patients who had been reoperated and 2 symptomatic subjects at present.

Surgical treatment was indicated in all cases referred to our general surgery clinic, excluding those whose comorbidity contraindicated the surgical procedure. When the survey was performed 3 patients 3.