Title of article :
Repair of paraesophageal hernias
Author/Authors :
Santiago Horgan، نويسنده , , Thomas R. Eubanks، نويسنده , , Garth Jacobsen، نويسنده , , Pablo Omelanczuk، نويسنده , , Carlos A. Pellegrini، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 1999
Pages :
5
From page :
354
To page :
358
Abstract :
BACKGROUND: Three years ago we proposed the use of laparoscopy and systematic addition of an antireflux procedure to repair paraesophageal hernias. We now present an analysis of the outcome on patients and the evolution of the technique proposed. METHODS: Symptoms and esophageal function were prospectively collected and followed in 41 consecutive patients treated over a 4-year period. Indications for repair included chronic anemia in 15 patients, and previous incarceration in 8. Twenty-two patients had symptoms of reflux. RESULTS: All operations were started laparoscopically, two were converted. Mean operating time was 210 minutes, and mean hospital stay was 4 days. Mean follow-up was 3 years. The operation was effective; all symptoms had improved significantly at last follow-up. CONCLUSIONS: Laparoscopic repair of paraesophageal hernia with the addition of an antireflux procedure, although difficult, lengthy, and not totally without risk, improves symptoms substantially, resolves anemia, and prevents incarceration in nearly all patients.
Journal title :
The American Journal of Surgery
Serial Year :
1999
Journal title :
The American Journal of Surgery
Record number :
620561
Link To Document :
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