ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2014
Laparoscopic treatment of type III and IV hiatal hernia - authors' experience.
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Article
- Adjuvant Botulinum Toxin Type A on the Management of Giant Hiatal Hernia: A Case Report.Cureus · 2024Article
- Mixed type of hiatus hernia: incidental diagnosis of a potentially life-threatening condition.BMJ case reports · 2021Article
- Laparoscopic repair of giant hiatal hernia for elderly patients.Annals of translational medicine · 2021Article
- Preoperative botulinum toxin type A: A case report of a proposed new strategy for giant hiatal hernia management.Clinical case reports · 2020Article
- Article
- Surgical treatment of GERD. Comperative study of WTP vs. Toupet fundoplication - results of 151 consecutive cases.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016Article
- Dynamics of quality of life improvement after floppy Nissen fundoplication for gastroesophageal reflux disease.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015Article
- Incidence of true short esophagus among patients submitted to laparoscopic Nissen fundoplication.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionThere are four types of hiatal hernias, and diagnosis is established on the basis of gastroscopy in the majority of cases. Type III represents a mixed type in which the abdominal esophagus as well as the gastric cardia and fundus protrude into the thorax through the pathologically widened esophageal hiatus. Type IV, the so-called upside down stomach, can be considered an evolutionary form of type III, and refers to herniation of nearly the whole stomach (except for the cardia and pylorus) into the thorax. Types III and IV of hiatal hernias represent a group of rare diaphragmatic defects; thus, most centers do not possess considerable experience in their treatment. Frequently, laparoscopic treatment is implemented, although, according to some authors, conversion to laparotomy, thoracotomy, or thoracolaparotomy is necessary in selected cases.
aimTo analyze the outcomes of laparoscopic treatment of the largest hiatal hernias, i.e. type III and IV hernias. MATERIAL AND
methodsA total of 25 patients diagnosed with type III and IV hiatal hernia were included in further analysis.
resultsAs many as 19 out of 25 patients (76%) assessed the outcome of the surgery as evidently positive and reported marked improvement in the quality of life.
conclusionsThe laparoscopic technique constitutes an excellent and safe method of repair of even the most complex defects in the esophageal hiatus. Therefore, the minimally invasive technique combined with an anti-reflux procedure should be the method of choice in patients with type III and IV hernia.
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