Paraesophageal Hernias: Operation or Observation?
نویسندگان
چکیده
منابع مشابه
Laparoscopic Repair of Paraesophageal Hernias
BACKGROUND AND OBJECTIVES Laparoscopy has quickly become the standard surgical approach to repair paraesophageal hernias. Although many centers routinely perform this procedure, relatively high recurrence rates have led many surgeons to question this approach. We sought to evaluate outcomes in our cohort of patients with an emphasis on recurrence rates and symptom improvement and their correlat...
متن کاملThe surgical treatment of paraesophageal hernias.
Paraesophageal hernias account for about 5 to 10% of all hiatal hernias. The surgical approach to these hernias has radically changed over the last 15 years, as mostly patients who are symptomatic are operated on nowadays, and preferably by a laparoscopic approach rather than by laparotomy or thoracotomy. We reviewed the surgical repair of paraesophageal hernias, focusing particularly on the op...
متن کاملRobotic Repair of Giant Paraesophageal Hernias
BACKGROUND AND OBJECTIVES Giant paraesophageal hernia accounts for 5% of all hiatal hernias, and it is commonly seen in elderly patients with comorbidities. Some series report complication rates up to 28%, recurrence rates between 10% and 25%, and a mortality rate close to 2%. Recently, the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) has shown equivocal benefits when used ...
متن کاملLaparoscopic repair of paraesophageal hernias: a Canadian experience.
BACKGROUND The surgical approach to paraesophageal hernias (PEH) has changed with the advent of laparoscopic techniques. Variation in both perioperative outcomes and hernia recurrence rates are reported in the literature. We sought to evaluate the short- and intermediate-term outcomes with laparoscopic PEH repair. METHODS We performed a retrospective review of patients having laparoscopic rep...
متن کاملRepair of Paraesophageal Hiatal Hernias—Is a Fundoplication Needed? A Randomized Controlled Pilot Trial.
BACKGROUND The need for a fundoplication during repair of paraesophageal hiatal hernias (PEH) remains unclear. Prevention of gastroesophageal reflux represents a trade-off against the risk of fundoplication-related side effects. The aim of this trial was to compare laparoscopic mesh-augmented hiatoplasty with simple cardiophrenicopexy (LMAH-C) with laparoscopic mesh-augmented hiatoplasty with f...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 2002
ISSN: 0003-4932
DOI: 10.1097/00000658-200210000-00012