The efficacy of Heller’s esophagocardiomyotomy with Dor la esofagocardiomiotomía de Heller con funduplicatura de Dor por laparoscopia. Se realizó funduplicatura D’Or en 35 casos, Nissen en 35, Toupet en 14, cierre simple de pilares en 2, Narbona en 1 y Lortat-Jakob en 1; en 10 pacientes se. A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via In a Dor (anterior) fundoplication, the fundus is laid over the top of the.
|Published (Last):||3 February 2012|
|PDF File Size:||17.24 Mb|
|ePub File Size:||4.83 Mb|
|Price:||Free* [*Free Regsitration Required]|
Deceased patients and those lost to follow-up were excluded. When the survey was performed 3 patients 3. We retrospectively reviewed all patients who underwent surgery for paraesophageal hernia between and There was no mortality related to surgery in any of both groups.
The esophageal hiatus is also narrowed down by sutures to prevent or treat concurrent hiatal hernia, in which the fundus slides up through the enlarged esophageal hiatus of the diaphragm. Studies have shown that after 10 years, Its importance is based on the severe complications it may have, such as obstruction, gastric perforation or gastric mucosal bleeding. Two of them had undergone open D’Or fundoplication; in both cases Nissen’s technique was used, in one of them with mesh placement.
Therefore, we think that this monitoring should be extended in order not to underestimate asymptomatic recurrences that may occur at any time during follow-up.
In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped the entire degrees around the esophagus. Fnuduplicatura have placed mesh in 10 patients and 5 reinterventions with no recurrences to date. The use of mesh for repairing seems to reduce the number of relapses, but experience is still limited 2, This prevents the reflux of gastric acid in GERD.
Surgical repair has shown to be useful, and nowadays the debate focuses on checking whether the laparoscopic approach is as effective and brings the universal advantages of minimally invasive surgery. Laparoscopic repair of paraeophageal hernia. The satisfaction rate was Median follow-up for the other 84 patients was 12 years Surg Endosc ; Since recurrence is not always accompanied by clinical manifestations, a close follow-up with imaging tests may be convenient to determine anatomic recurrence without necessarily implying a therapeutic attitude 5.
The surgical procedure was Nissen’s for 27 cases An antireflux technique is often added since there is evidence of GER symptoms cor a fundoplication was not performed, even in those previously asymptomatic 8. This page was last edited on 2 Novemberat Surg Laparosc Endosc Percutan Tech ; 16 5: Whenever the stomach contracts, it also closes off the esophagus instead of squeezing stomach acids into it. Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal fundupilcatura procedure.
Appendicectomy Colectomy Colonic polypectomy Colostomy Hartmann’s operation.
There was a problem providing the content you requested
Three of them were reoperated, and a fourth reoperation was rejected because of patient comorbidity. Ann Surg ; Eighty-one patients underwent elective surgery and 9 emergency surgery.
The techniques performed were D’Or fundoplication in 35 dir, Nissen in 35, Toupet in 14, simple hiatal closure in 2, Narbona in 1, and Lortat-Jakob in 1; in 10 patients a mesh was placed. Recent studies argue vor the complication rate after LP is lower than after OP 4 vs.
Funduplicaturas – Screen 7 on FlowVella – Presentation Software for Mac iPad and iPhone
Time between surgery and recurrence was 1, 2. Furthermore, 3 patients were reoperated because of GER symptoms. Liver Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal shunt procedure.
Se realizaron 81 intervenciones programadas y 9 urgentes. Forty-seven cases underwent an open procedure and 43 a laparoscopic one; 5 A great part of authors agree that LP is technically complex and requires extended operative time because of the size and anatomical distortion of paraesophageal hernias. If postoperative gas-bloat syndrome does not resolve with time, dietary restrictions, counselling regarding aerophagia, and correction — either by endoscopic balloon dilatation [ citation needed ] or repeat surgery to revise the Nissen fundoplication to a partial fundoplication — may be necessary.
Material and methods We retrospectively reviewed all patients who underwent surgery for paraesophageal hernia between and As follow-up, we analyzed 84 patients.