Type IV hiatal hernia post laparoscopic Nissen fundoplication: Report of a case

被引：6

作者：

Awad, ZT ^{[1
]}

Magee, DJ ^{[1
]}

Wanis, N ^{[1
]}

Firozvi, A ^{[1
]}

机构：

[1] St Columcilles Hosp, Loughlinstown, Dublin, Ireland

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 2001年 / 31卷 / 02期

关键词：

Nissen fundoplication; paraesophageal hernia; minimal invasive surgery; complication;

D O I：

10.1007/s005950170201

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A postoperative hiatal hernia is a rare but serious complication of fundoplication. We report herein a 62-year-old female who presented with abdominal pain and vomiting 2 years following laparoscopic Nissen fundoplication. At laparotomy, the stomach and the transverse colon were intrathoracic (type IV hiatal hernia); the esophageal hiatus was markedly dilated with no evidence that they had been approximated. At 18 months follow-up, she is doing very well apart from occasional heartburn. A high index of suspicion is needed to diagnose postoperative hiatal hernias. A routine closure of the crura with nonabsorbable suture material and an avoidance of iatrogenic pneumothorax may help to reduce the occurrence of this problem.

引用

页码：156 / 158

页数：3

共 15 条

[1]

DUBIOS F, 1995, BRIT J SURG, V82, P1435

[2] Comparison of outcomes of open versus laparoscopic Nissen fundoplication performed in a single practice [J].