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2015, Number 2

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Revista Cubana de Cirugía 2015; 54 (2)

Laparoscopic surgery for the treatment of giant hiatal hernias

Pereira FJG, Roque GR, Martínez AMÁ, Torres PR, Barreras GJ, López MAB

Language: Spanish
References: 24
Page: 148-156
PDF size: 125.84 Kb.


ABSTRACT

Introduction: hiatal hernia is an acquired disease and it is common in the upper gastrointestinal tract. The expression Giant hiatal hernia is called a hernia that exceeds one third of the stomach (30 % in the thorax) and measures over 5cm diameter.
Objective: to describe the results of the laparoscopic surgery for the treatment of giant hiatal hernias at the National Center of the Minimal Access Surgery.
Methods: a retrospective, descriptive and longitudinal study was performed on patients with giant hiatal hernia and surgical treatment between January 2011 and December 2013 at the National Center for Minimal Access Surgery in Havana, Cuba.
Results: the hernia size was 7 cm as average, ranging from 6 to 15 cm. The most used technique was hiatal herniorrhaphy plus Nissen-Rossetti funduplication in 70% of patients. There were 3 recurrences that required reoperation. No deaths were observed in this series.
Conclusions: laparoscopic surgery is the best technique for the treatment of giant hiatal hernia, provided that the surgical teams have enough experience in advanced laparoscopic procedures, which can allow good results in terms of morbidity and mortality rates.


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