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Technical Pitfalls and Factors that Promote Recurrence (Small Defects) Following Surgical Treatment of Hiatal Hernia

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Recurrent Hernia

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Abstract

The successful development of laparoscopic fundoplication has made it a valid alternative to medical therapy in the treatment of gastro-esophageal reflux. As experience has grown, the laparoscopic approach is now used to treat more complex conditions such as type II (paraesophageal hernia, PEH) or type-III (mixed) hiatal hernia [1]. Results from several series have shown that laparoscopic repair is feasible and safe, in spite of the increased technical difficulty, and its immediate and short-term results are excellent (⊡ Table 8.1) [2]–[13]. However, the incidence of recurrences may be high, reaching 42% in one series [3].

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Authors and Affiliations

  1. Service of Surgery Hospital de Sant Pau, Autonomous University of Barcelona, 08025, Barcelona, Spain

    M. E. Targarona

Authors
  1. M. E. Targarona
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  2. C. Balague
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  3. R. Berindoague
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  4. M. Trias
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Editors and Affiliations

  1. Chirurgische Klinik, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen, Germany

    Volker Schumpelick

  2. Department of Surgery, Creighton University, 601 North 30th Street Suite 3740, Omaha, NE, 68131, USA

    Robert J. Fitzgibbons

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© 2007 Springer-Verlag Berlin Heidelberg

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Targarona, M.E., Balague, C., Berindoague, R., Trias, M. (2007). Technical Pitfalls and Factors that Promote Recurrence (Small Defects) Following Surgical Treatment of Hiatal Hernia. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Recurrent Hernia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68988-1_8

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  • DOI: https://doi.org/10.1007/978-3-540-68988-1_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-37545-6

  • Online ISBN: 978-3-540-68988-1

  • eBook Packages: MedicineMedicine (R0)

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