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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We consider that mesh is indicated for large hernias, in which pillar repair may be tense, as well as in relapsing hernia. Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
Results after laparoscopic and open surgery are equivalent in terms of efficacy and complication rates, with a significantly shorter hospital stay in the former group. A review of literature. Current controversies in paraeophageal hernia repair.
The satisfaction rate was Se realizaron 81 intervenciones programadas y 9 urgentes. Surgical procedures performed are shown in table III.
dir There was a statistically significant lower hospital stay in the LP group median 3. Despite that, 11 patients had symptoms of GER, 3 of whom required reoperation for this reason.
Hernia de hiato paraesofágica: cirugía laparoscópica vs. cirugía abierta
Ninety patients were included, 22 males Studies have shown that after 10 years, There was no mortality related to surgery in any of both groups.
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In all patients in our series an antireflux technique or gastropexy was associated, except in 2 patients in which simply a pillar closure was performed. Median follow-up for the other 84 patients was 12 years Inguinal hernia surgery Femoral hernia repair.
The open procedure OP shows high complication rates and needs a long recovering time fundhplicatura. Although antacids and PPI drug therapy can reduce the effects of reflux acid, successful surgical treatment has the advantage of eliminating drug side-effects and damaging effects from other components of reflux such as bile or gastric contents.
Frey’s procedure Pancreas transplantation Pancreatectomy Pancreaticoduodenectomy Puestow procedure. Diagnostic studies are summarized in table II. Forty-seven cases underwent an OP The use of mesh for repairing seems to reduce the number of relapses, but experience is still limited 2, In contrast, surgery for achalasia is generally accompanied by either a Dor or Toupet partial fundoplication, which is less likely than a Nissen wrap to aggravate the dysphagia that characterizes achalasia.
Conclusion Results after laparoscopic and open surgery are equivalent in terms of efficacy and complication rates, with a significantly shorter hospital stay in the former group. CS1 German-language sources de CS1 maint: Surg Endosc ; Therefore, we think that laparoscopic surgery should be considered as the election procedure for paraesophageal hiatal hernia. An approach to the management of paraesophageal hiatus hernias.
Therefore, we think that this monitoring should be extended in order not to underestimate asymptomatic recurrences that may occur at any time during follow-up. The techniques performed were D’Or fundoplication in 35 cases, Nissen in 35, Toupet in 14, simple hiatal closure in 2, Narbona in 1, and Lortat-Jakob in 1; in 10 patients a mesh was placed.
Nissen fundoplication Diagram of a Nissen fundoplication. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
Some authors argue that esophageal dissection causes GER, while others argue that an anatomic repair would solve this problem, but there are no controlled studies to confirm these hypotheses 2,9. We have placed mesh in 10 patients and 5 reinterventions with no recurrences to date. Laparoscopic repair of large paraeophageal hernia is associated with a low incidence of recurrence and reoperation.
This page was last edited on 2 Novemberat Surgical repair consists of hernia reduction and pillar closure.
Retrieved from ” https: After a median follow-up of 12 years15 patients were still symptomatic Open Nissen fundoplication and mesh placing was performed for the 3 patients.