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

Hdl Handle:
http://hdl.handle.net/10147/135676
Title:
Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case.
Authors:
Awad, Z T; Magee, D J; Wanis, N; Firozvi, A
Affiliation:
St. Columcilles Hospital, Loughlinstown, Co. Dublin, Republic of Ireland.
Citation:
Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case. 2001, 31 (2):156-8 Surg. Today
Journal:
Surgery today
Issue Date:
2001
URI:
http://hdl.handle.net/10147/135676
PubMed ID:
11291711
Additional Links:
http://www.springerlink.com/content/ml0jxltvj5j3b8g8/
Abstract:
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.
Language:
en
MeSH:
Abdominal Pain; Female; Fundoplication; Gastroesophageal Reflux; Hernia, Hiatal; Humans; Laparoscopy; Middle Aged; Vomiting
ISSN:
0941-1291

Full metadata record

DC FieldValue Language
dc.contributor.authorAwad, Z Ten
dc.contributor.authorMagee, D Jen
dc.contributor.authorWanis, Nen
dc.contributor.authorFirozvi, Aen
dc.date.accessioned2011-07-08T14:40:06Z-
dc.date.available2011-07-08T14:40:06Z-
dc.date.issued2001-
dc.identifier.citationType IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case. 2001, 31 (2):156-8 Surg. Todayen
dc.identifier.issn0941-1291-
dc.identifier.pmid11291711-
dc.identifier.urihttp://hdl.handle.net/10147/135676-
dc.description.abstractA 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.-
dc.language.isoenen
dc.relation.urlhttp://www.springerlink.com/content/ml0jxltvj5j3b8g8/en
dc.subject.meshAbdominal Pain-
dc.subject.meshFemale-
dc.subject.meshFundoplication-
dc.subject.meshGastroesophageal Reflux-
dc.subject.meshHernia, Hiatal-
dc.subject.meshHumans-
dc.subject.meshLaparoscopy-
dc.subject.meshMiddle Aged-
dc.subject.meshVomiting-
dc.titleType IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case.en
dc.contributor.departmentSt. Columcilles Hospital, Loughlinstown, Co. Dublin, Republic of Ireland.en
dc.identifier.journalSurgery todayen
dc.description.provinceLeinster-

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