Repair of the large hiatus hernia has been troubled by diaphragmatic hiatal repair failure and recurrence. Use of mesh repair may reduce recurrence at a cost of increased reoperative complications and mesh fistulation. Methods of hiatal closure facilitation are described.
Techniques and accompanying intra-surgery pictures are discussed here based on personal experience from within a service performing variable 100 giant hernia repairs annually.
Techniques for closure of a large hiatus without mesh repair are described with illustration, the purpose to expose various techniques utilized in a service performing more than 100 giant hernia repairs annually.
Techniques adopted and described in this article may facilitate both mesh and non-mesh repair of crural hiatal defects associated with giant hiatus hernia.
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Conflict of interest
G.L. Falk, T.J. D’Netto, and S.C. Little declare that they have no competing interests.
Prospective patient data were collated from a password-protected practice database and collated for publication. The database was approved by the institutional ethics (CH62/6/2011-092).
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Falk, G.L., D’Netto, T.J. & Little, S.C. Giant hiatus hernia: closure of the difficult hiatus. Eur Surg 51, 291–294 (2019). https://doi.org/10.1007/s10353-019-00612-4
- Giant Hiatus Hernia
- Hiatus repair