Feasibility of surgical technique and evaluation of postoperative quality of life after laparoscopic treatment of intrathoracic stomach

Horstmann, R.; Klotz, Arthur P.; Classen, Claus Dieter; Palmes, Daniel

doi:10.1007/s00423-003-0437-8

Cited by 13 publications

(9 citation statements)

References 23 publications

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“…Two prospective randomized trials were performed looking at mesh hiatoplasty for the use of paraesophageal hernias. Both trials were found to have signiWcantly lower recurrence rates [11,35]. Despite this, there is vast underreporting of associated complications; as well as a lack of long-term studies supporting the eVectiveness of mesh use at the gastroesophageal junction [15].…”

Section: Paraesophageal Hernia Repairmentioning

confidence: 93%

Hiatal hernias

et al. 2011

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Esophageal hiatal hernias have been reported to affect anywhere from 10 to 50% of the population. Hiatal hernias are characterized by a protrusion of the stomach into the thoracic cavity through a widening of the right crus of the diaphragm. There are four types of esophageal hiatal hernias: sliding (type I), paraesophageal (type II), and combined (type III), which include elements of types I and II, and giant paraesophageal (type IV). Each type may present with different symptoms and complications. The potential severity of symptoms necessitates proper and prompt diagnosis. Diagnosis is established with the use of barium swallow on chest radiographs. Treatment for sliding hernias involves laparoscopic fundoplication. The aim of our paper is to review the extensive literature regarding hiatal hernias in an effort to enhance awareness and diagnosis of this pathology.

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Section: Paraesophageal Hernia Repairmentioning

confidence: 93%

Hiatal hernias

et al. 2011

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“…Failure to excise the hernial sac may be a major contributing factor to the seroma formation. [7] Sac excision eliminates the serous membrane lining the cavity in the mediastinum and reduces the chance of a symptomatic collection. Unmobilized sac can act as a lead point on the stomach and cause it to be pushed back into the chest.…”

Section: Discussionmentioning

confidence: 99%

Mediastinal seroma post laparoscopic repair of type IV paraesophageal hernia

Alnassar¹

2011

Saudi J Gastroenterol

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Laparoscopic repair of paraesophageal hernia is safe and feasible and can provide comparable results for patients with type IV paraesophageal hernia. We report a rare case of mediastinal seroma in an 80-year-old gentleman who had a giant type IV paraesophageal hernia and was eventually admitted to our hospital for elective laparoscopic repair and recovered very well after surgery with resolution of the atelectatic lungs and air-fluid collection in his chest.

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“…Technology often is blamed for rising health care costs; however, some medical advances, such as endoscopic surgery, are critical to improving health care efficiency, enhancing the quality of care provided, and decreasing overall expenses. Patients in today's health care facilities are experiencing the benefits of advanced technology as evidenced by higher quality‐of‐life scores after minimally invasive surgery (MIS) compared to traditional open surgery 4–6 . Hospital stays are shorter, and often the need for overnight stay is eliminated 5 .…”

Section: Behavioral Objectivesmentioning

confidence: 99%

“…Patients in today's health care facilities are experiencing the benefits of advanced technology as evidenced by higher quality‐of‐life scores after minimally invasive surgery (MIS) compared to traditional open surgery 4–6 . Hospital stays are shorter, and often the need for overnight stay is eliminated 5 . Postoperative pain is less and patients are able to return to work sooner 4–6 .…”

Section: Behavioral Objectivesmentioning

confidence: 99%

Future trends in minimally invasive surgery

Bragg

VanBalen²,

Cook³

2005

AORN Journal

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Health care costs in the United States are climbing annually at a staggering rate. Technology often is blamed for rising health care costs; however, some medical advances, such as minimally invasive surgery (MIS), are critical to improving health care efficiency, enhancing the quality of care provided, and decreasing overall expenses. Savings or profits relating to technology may be difficult to measure quantitatively, but when surgeons and perioperative personnel have reached the peak of the learning curve for performing MIS procedures, complication rates drop significantly. Patients are experiencing the benefits of MIS (eg, decreased postoperative pain, shorter hospital stays and often no need for an overnight stay, ability to return to work sooner), all of which encourage technologically savvy consumers to seek MIS options.

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Feasibility of surgical technique and evaluation of postoperative quality of life after laparoscopic treatment of intrathoracic stomach

Abstract: Laparoscopic access for the treatment of intrathoracic stomach represents a minimally invasive and safe treatment option for complete intrathoracic stomach, with a low level of perioperative morbidity and significant improvement in quality of life.

Cited by 13 publications

References 23 publications

Hiatal hernias

Hiatal hernias

Mediastinal seroma post laparoscopic repair of type IV paraesophageal hernia

Future trends in minimally invasive surgery

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