Management of Complications in Paraesophageal Hernia Repair

被引：15

作者：

Imai, Taryne A. ^{[1
]}

Soukiasian, Harmik J. ^{[1
]}

机构：

[1] Cedars Sinai Med Ctr, Div Thorac Surg, 8631 West 3rd St,Suite 240E, Los Angeles, CA 90048 USA

来源：

THORACIC SURGERY CLINICS | 2019年 / 29卷 / 04期

关键词：

Paraesophageal hernia repair complications; Esophageal and gastric perforation; Carbon dioxide insufflation complications; Collis gastroplasty; Hiatal hernia; LAPAROSCOPIC COLLIS GASTROPLASTY; CRURAL RELAXING INCISIONS; HIATAL-HERNIA; SHORT ESOPHAGUS; FOLLOW-UP; MESH; REINFORCEMENT; RECURRENCE; OUTCOMES; PNEUMOTHORAX;

D O I：

10.1016/j.thorsurg.2019.07.009

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Paraesophageal hernia repair is a technically challenging operation. Factors that influence morbidity of the operation include the timing of the operation, surgical approach, and patient factors. Medical complications are the most common and usually are respiratory or cardiac related. Perforation, subcutaneous emphysema, pneumothorax, shortened esophagus, and presence of a large hernia all complicate paraesophageal hernia repair. Various strategies of intraoperative management are described. Management of leaks and perforations identified postoperatively are dictated by the clinical status of the patient. Early identification and expeditious intervention are paramount in the overall management of complications.

引用

页码：351 / +

页数：9

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