Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case.
Affiliation
St. Columcilles Hospital, Loughlinstown, Co. Dublin, Republic of Ireland.Issue Date
2001MeSH
Abdominal PainFemale
Fundoplication
Gastroesophageal Reflux
Hernia, Hiatal
Humans
Laparoscopy
Middle Aged
Vomiting
Metadata
Show full item recordCitation
Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case. 2001, 31 (2):156-8 Surg. TodayJournal
Surgery todayPubMed ID
11291711Additional 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
enISSN
0941-1291Collections
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