Management of the Difficult Hiatal Hernia

被引：11

作者：

Rochefort, Matthew ^{[1
]}

Wee, Jon O. ^{[2
]}

机构：

[1] Brigham & Womens Hosp, Div Thorac Surg, 75 Francis St, Boston, MA 02115 USA

[2] Brigham & Womens Hosp, Div Thorac Surg, Esophageal Surg, 75 Francis St, Boston, MA 02115 USA

来源：

THORACIC SURGERY CLINICS | 2018年 / 28卷 / 04期

关键词：

Paraesophageal hernia; Mesh; Gastroplasty; Fundoplication; LAPAROSCOPIC COLLIS GASTROPLASTY; PARAESOPHAGEAL HERNIA; NISSEN FUNDOPLICATION; BIOLOGIC PROSTHESIS; RELAXING INCISIONS; RANDOMIZED-TRIAL; SHORT ESOPHAGUS; FOLLOW-UP; REPAIR; RECURRENCE;

D O I：

10.1016/j.thorsurg.2018.07.001

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

The ideal operative solution to giant paraesophageal hernias involves a complex evaluation of the functional anatomy and the intraoperative assessment of both esophageal length and crural closure tension. The addition of surgical adjuncts such as extended transmediastinal dissection, Collis gastroplasty, and mesh reinforcement are all necessary, on an individualized basis, to address these 2 primary causes of hernia recurrence. The authors discuss the options available.

引用

页码：533 / +

页数：8

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