Treatment of giant paraesophageal hernia: pro laparoscopic approach

Dallemagne, Bernard; Quero, Giuseppe; Lapergola, Alfonso; Guerriero, Ludovica; Fiorillo, Claudio; Perretta, Silvana

doi:10.1007/s10029-017-1706-8

Cited by 48 publications

(43 citation statements)

References 59 publications

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“…As surgeons have improved laparoscopic operation techniques, results have improved over time and experience. The recurrence rates of laparoscopic repair of GPEH in retrospective series ranged from 12 to 21% [11,34]. However, in a recent prospective series the rate was as high as 32.7% at 1 year.…”

Section: Discussionmentioning

confidence: 95%

“…The long-term outcomes and durability of laparoscopic repair are debated [10][11][12]. Complex laparoscopic repair of GPEH has been reported to be safe and successful [13][14][15] and the postoperative length of stay is shorter and postoperative pain is less severe than after open surgery [11,16]. On the other hand, radiological evidence of recurrence after laparoscopic surgery is often higher than after open repair [17].…”

Section: Introductionmentioning

confidence: 99%

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Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?

et al. 2020

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Background: Computed tomography (CT) is widely used in the diagnosis of giant paraesophageal hernias (GPEH) but has not been utilised systematically for follow-up. We performed a cross-sectional observational study to assess mid-term outcomes of elective laparoscopic GPEH repair. The primary objective of the study was to evaluate the radiological hernia recurrence rate by CT and to determine its association with current symptoms and quality of life. Methods: All non-emergent laparoscopic GPEH repairs between 2010 to 2015 were identified from hospital medical records. Each patient was offered non-contrast CT and sent questionnaires for disease-specific symptoms and health-related quality of life. Results: The inclusion criteria were met by 165 patients (74% female, mean age 67 years). Total recurrence rate was 29.3%. Major recurrent hernia (> 5 cm) was revealed by CT in 4 patients (4.3%). Radiological findings did not correlate with symptom-related quality of life. Perioperative mortality occurred in 1 patient (0.6%). Complications were reported in 27 patients (16.4%). Conclusions: Successful laparoscopic repair of GPEH requires both expertise and experience. It appears to lead to effective symptom relief with high patient satisfaction. However, small radiological recurrences are common but do not affect postoperative symptom-related patient wellbeing.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?

et al. 2020

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“…Before performing fundoplication surgery it is also essential to verify the integrity of the peristaltis of the esophagus, which can be done using high resolution manometry (HRM) as it provides real time pressure recording [3,5]. However, placement of the manometry catheter can be rather difficult; Dallemagne et al have reported that the method is completed in less than 50% of cases [17].…”

Section: Diagnosis Of Esophageal Hiatal Herniamentioning

confidence: 99%

“…Usually, it is discovered incidentally while performing CT scan for a different indication [5]. Dallemagne et al recommend CT scan in order to rule out complications like perforation, pneumoperitoneum or pneumomediastinum [17]. In case of paraesophageal hernia, it is a helpful method in the assessment of gastric volvulus [5].…”

Section: Diagnosis Of Esophageal Hiatal Herniamentioning

confidence: 99%

“…The current guideline for the surgical treatment of hiatal hernia was elaborated by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) in the year 2013. Through our literature research we have found that indications for surgery remain the same: symptomatic patients with paraesophageal hernia [1,17,24], especially those with obstructive symptoms and gastric volvulus, which require urgent surgery [21]. When sliding hernia and symptoms of GERD are present, surgical approach might be considered, especially in cases where regurgitation persists despite medical treatment with PPI [5].…”

Section: Treatment Of Hiatal Herniamentioning

confidence: 99%

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The management of hiatal hernia: an update on diagnosis and treatment

Sfara

Dumitraşcu

2019

Medicine and Pharmacy Reports

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Background and aim. Hiatal hernia (HH) occurs quite frequently in the general population and is characterized by a wide range of non-specific symptoms, most of them related to gastroesophageal reflux disease. Treatment can be challenging at times, depending on the existence of complications. The most recent guideline regarding the management of hiatal hernia was released by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) in the year 2013. This review aims to present the most recent updates on the diagnosis and management of hiatal hernia for clinical practitioners. Methods. The PubMed database was screened for publications using the terms: “hiatal hernia”, “paraesophageal hernia”, “management”, “treatment”, “hiatal repair”. A literature review of contemporary and latest studies was completed. The studies that we looked into include prospective, randomized trials, systematic reviews, clinical reviews and original articles. The information was compiled in narrative review format. Results. This narrative review presents new data on the diagnosis and management of hiatal hernia. While the diagnostic pathway has remained virtually unchanged, new data have come to light regarding the surgical treatment of hiatal hernia. We present the imaging methods used for its diagnosis, as well as the medical and surgical treatment currently available. Conclusions. In the last five years, there has been vast research in the field of hiatal hernia management, especially regarding the surgical treatment. However, unanswered questions still remain and solid updates on the guidelines have yet to be formulated. To address this, more randomized studies need to be done on subsets of patients, stratified by age, gender, symptoms and comorbidities.

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Surgical Management of Complicated Paraesophageal Hernias

Kao

Colavita

2019

Multidisciplinary Approaches to Common Surgical Problems

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Treatment of giant paraesophageal hernia: pro laparoscopic approach

Cited by 48 publications

References 59 publications

Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?

Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?

The management of hiatal hernia: an update on diagnosis and treatment

Surgical Management of Complicated Paraesophageal Hernias

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