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Erschienen in: European Surgery 6/2019

27.09.2019 | review

Giant hiatus hernia: closure of the difficult hiatus

verfasst von: MB.BS, FRACS, FACS Gregory L. Falk, MBBS (Hons) Trevor J. D’Netto, B. AVBS (Hons I) Sophia C. Little

Erschienen in: European Surgery | Ausgabe 6/2019

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Summary

Background

Repair of the large hiatus hernia has been troubled by diaphragmatic hiatal repair failure and recurrence. Use of mesh repair may reduce recurrence at a cost of increased reoperative complications and mesh fistulation. Methods of hiatal closure facilitation are described.

Methods

Techniques and accompanying intra-surgery pictures are discussed here based on personal experience from within a service performing variable 100 giant hernia repairs annually.

Results

Techniques for closure of a large hiatus without mesh repair are described with illustration, the purpose to expose various techniques utilized in a service performing more than 100 giant hernia repairs annually.

Conclusion

Techniques adopted and described in this article may facilitate both mesh and non-mesh repair of crural hiatal defects associated with giant hiatus hernia.
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Metadaten
Titel
Giant hiatus hernia: closure of the difficult hiatus
verfasst von
MB.BS, FRACS, FACS Gregory L. Falk
MBBS (Hons) Trevor J. D’Netto
B. AVBS (Hons I) Sophia C. Little
Publikationsdatum
27.09.2019
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 6/2019
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-019-00612-4