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Complex Hiatal Hernias

  • Dirk Weyhe
  • Pradeep Chowbey
Chapter

Abstract

Hiatial hernia often develops due to a combination of insufficient hiatial fixation of the cardia region and concurrent intra-abdominal pressure, which mainly arise due to age and/or obesity [1]. The amount of dislocated tissue is used to classify hiatial hernia:
  • Type I: axial hernia

  • Type II: paraesophageal hernia

  • Type III: combination of I and II

  • Type IV: large hiatial hernia with additional abdominal organs dislocated into the thorax

References

Upside-Down Stomach

  1. 1.
    Wilson LJ, Ma W, Hirschowitz BI. Association of obesity with hiatal hernia and esophagitis. Am J Gastroenterol. 1999;94:2840–4.CrossRefPubMedGoogle Scholar
  2. 2.
    Bittner R, Arregui M, Bisgaard T, Dudai M, Ferzli G, Fitzgibbons R, Fortelny R, Klinge U, Kockerling F, Kuhry E. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc. 2011;25:2773–843.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Simons M, Aufenacker T, Bay-Nielsen M, Bouillot J, Campanelli G, Conze J, De Lange D, Fortelny R, Heikkinen T, Kingsnorth A. European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13:343–403.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Frantzides CT, Carlson MA, Loizides S, Papafili A, Luu M, Roberts J, Zeni T, Frantzides A. Hiatal hernia repair with mesh: a survey of SAGES members. Surg Endosc. 2010;24:1017–24.CrossRefPubMedGoogle Scholar
  5. 5.
    Rathore MA, Andrabi SIH, Bhatti MI, Naifi S, McMurray A. Meta-analysis of recurrence after laparoscopic repair of paraesophageal hernia. JSLS. 2007;11:456.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Parker M, Bowers SP, Bray JM, Harris AS, Belli EV, Pfluke JM, Preissler S, Asbun HJ, Smith CD. Hiatal mesh is associated with major resection at revisional operation. Surg Endosc. 2010;24:3095–101.CrossRefPubMedGoogle Scholar
  7. 7.
    Pfluke JM, Parker M, Bowers SP, Asbun HJ, Smith CD. Use of mesh for hiatal hernia repair: a survey of SAGES members. Surg Endosc. 2012;26:1843–8.CrossRefPubMedGoogle Scholar
  8. 8.
    Frantzides CT, Madan AK, Carlson MA, Stavropoulos GP. A prospective, randomized trial of laparoscopic polytetrafluoroethylene (PTFE) patch repair vs simple cruroplasty for large hiatal hernia. Arch Surg. 2002;137:649–52.CrossRefPubMedGoogle Scholar
  9. 9.
    Granderath FA, Schweiger UM, Kamolz T, Asche KU, Pointner R. Laparoscopic Nissen fundoplication with prosthetic hiatal closure reduces postoperative intrathoracic wrap herniation: preliminary results of a prospective randomized functional and clinical study. Arch Surg. 2005;140:40–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Kuster GG, Gilroy S. Laparoscopic technique for repair of paraesophageal hiatal hernias. J Laparoendosc Surg. 1993;3:331–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, Köckerling F, Kukleta J, LeBlanc K, Lomanto D. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)—Part 1). Surg Endosc. 2014;28:2–29.CrossRefPubMedGoogle Scholar
  12. 12.
    Binnebösel M, Rosch R, Junge K, Flanagan TC, Schwab R, Schumpelick V, Klinge U. Biomechanical analyses of overlap and mesh dislocation in an incisional hernia model in vitro. Surgery. 2007;142:365–71.CrossRefPubMedGoogle Scholar
  13. 13.
    Tulloh B, de Beaux A. Defects and donuts: the importance of the mesh:defect area ratio. Hernia. 2016;20:893–5.CrossRefPubMedGoogle Scholar
  14. 14.
    Koch OO, Asche KU, Berger J, Weber E, Granderath FA, Pointner R. Influence of the size of the hiatus on the rate of reherniation after laparoscopic fundoplication and refundopilication with mesh hiatoplasty. Surg Endosc. 2011;25:1024–30.CrossRefPubMedGoogle Scholar
  15. 15.
    Granderath FA. Measurement of the esophageal hiatus by calculation of the hiatal surface area (HSA). Why, when and how? Surg Endosc. 2007;21:2224–5.CrossRefPubMedGoogle Scholar
  16. 16.
    Granderath F, Carlson MA, Champion J,Szold A, Basso N, Pointner R, Frantzides C. Prosthetic closure of the esophageal hiatus in large hiatal hernia repair and laparoscopic antireflux surgery. Surg Endo. 2006;20(3):367–79.CrossRefPubMedGoogle Scholar
  17. 17.
    Cobb WS, Burns JM, Kercher KW, Matthews BD, Norton HJ, Heniford BT. Normal intraabdominal pressure in healthy adults. J Surg Res. 2005;129:231–5.CrossRefPubMedGoogle Scholar
  18. 18.
    Bittner R, Montgomery M, Arregui E, Bansal V, Bingener J, Bisgaard T, Buhck H, Dudai M, Ferzli G, Fitzgibbons R. Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society). Surg Endosc. 2015;29:289–321.CrossRefPubMedGoogle Scholar
  19. 19.
    Williams D. Revisiting the definition of biocompatibility. Med Device Technol. 2003;14:10–3.PubMedGoogle Scholar
  20. 20.
    Asti E, Lovece A, Bonavina L, Milito P, Sironi A, Bonitta G, Siboni S. Laparoscopic management of large hiatus hernia: five-year cohort study and comparison of mesh-augmented versus standard crura repair. Surg Endosc. 2016;30(12):5404–9.CrossRefPubMedGoogle Scholar
  21. 21.
    Oelschlager BK, Pellegrini CA, Hunter J, Soper N, Brunt M, Sheppard B, Jobe B, Polissar N, Mitsumori L, Nelson J. Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial. Ann Surg. 2006;244:481–90.PubMedPubMedCentralGoogle Scholar
  22. 22.
    Huddy JR, Markar SR, Ni MZ, Morino M, Targarona EM, Zaninotto G, Hanna GB. Laparoscopic repair of hiatus hernia: does mesh type influence outcome? A meta-analysis and European survey study. Surg Endosc. 2016;30(12):5209–21.CrossRefPubMedGoogle Scholar
  23. 23.
    Oelschlager BK, Pellegrini CA, Hunter JG, Brunt ML, Soper NJ, Sheppard BC, Polissar NL, Neradilek MB, Mitsumori LM, Rohrmann CA, Swanstrom LL. Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg. 2011;213:461–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Wang B, Zhang W, Shan CX, Liu S, Jiang ZG, Qiu M. Long-term outcomes of cruroplasty reinforcement with composite versus biologic mesh for gastroesophageal reflux disease. Surg Endosc. 2016;30:2865–72.CrossRefPubMedGoogle Scholar
  25. 25.
    Tam V, Winger DG, Nason KS. A systematic review and meta-analysis of mesh vs suture cruroplasty in laparoscopic large hiatal hernia repair. Am J Surg. 2016;211:226–38.CrossRefPubMedGoogle Scholar
  26. 26.
    Liang WT, Hu ZW, Wang ZG, Wu JM, Liang Y. Mesh-related complications after hiatal hernia repair: two case reports. Gastroenterol Nurs. 2015;38:226–9.CrossRefPubMedGoogle Scholar
  27. 27.
    Stadlhuber RJ, El Sherif A, Mittal SK, Fitzgibbons RJ Jr, Brunt LM, Hunter JG, DeMeester TR, Swanstrom LL, Smith CD, Filipi CJ. Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series. Surg Endosc. 2009;23:1219–26.CrossRefPubMedGoogle Scholar
  28. 28.
    Virgilio E, Mercantini P, Cavallini M. Partial transmural gastroesophageal migration of polypropylene mesh after surgery for a recurrent hiatal hernia. Eur Rev Med Pharmacol Sci. 2016;20:3515–6.PubMedGoogle Scholar
  29. 29.
    Köckerling F, Schug-Pass C. What do we know about titanized polypropylene meshes? An evidence-based review of the literature. Hernia. 2014;18:445–57.CrossRefPubMedGoogle Scholar
  30. 30.
    Carpelan-Holmstrom M, Kruuna O, Salo J, Kylanpaa L, Scheinin T. Late mesh migration through the stomach wall after laparoscopic refundoplication using a dual-sided PTFE/ePTFE mesh. Hernia. 2011;15:217–20.CrossRefPubMedGoogle Scholar
  31. 31.
    Müller-Stich B, Senft J, Lasitschka F, Shevchenko M, Billeter A, Bruckner T, Kenngott H, Fischer L, Gehrig T. Polypropylene, polyester or polytetrafluoroethylene—is there an ideal material for mesh augmentation at the esophageal hiatus? Results from an experimental study in a porcine model. Hernia. 2014;18:873–81.CrossRefPubMedGoogle Scholar
  32. 32.
    Müller-Stich BP, Kenngott HG, Gondan M, Stock C, Linke GR, Fritz F, Nickel F, Diener MK, Gutt CN, Wente M, Buchler MW, Fischer L. Use of mesh in laparoscopic paraesophageal hernia repair: a meta-analysis and risk-benefit analysis. PLoS One. 2015;10:e0139547.CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Weyhe D, Cobb W, Lecuivre J, Alves A, Ladet S, Lomanto D, Bayon Y. Large pore size and controlled mesh elongation are relevant predictors for mesh integration quality and low shrinkage–systematic analysis of key parameters of meshes in a novel minipig hernia model. Int J Surg Case Rep. 2015;22:46–53.Google Scholar
  34. 34.
    Köhler G, Pallwein-Prettner L, Lechner M, Spaun G, Koch O, Emmanuel K. First human magnetic resonance visualisation of prosthetics for laparoscopic large hiatal hernia repair. Hernia. 2015;19(6):975–82.CrossRefPubMedGoogle Scholar

Short Esophagus

  1. 35.
    Barrett NR. Chronic peptic ulcer of the oesophagus and “oesophagitis.”. Br J Surg. 1950;38:175–82.CrossRefPubMedGoogle Scholar
  2. 36.
    Pickens A, Orringer MB. Reflux strictures and short esophagus. In: Yeo CJ, editor. Shackelford’s surgery of the alimentary tract. 6th ed. Philadelphia: Saunders Elsevier; 2007.Google Scholar
  3. 37.
    Waring JP. Surgical and endoscopic treatment of gastroesophageal reflux disease. Gastroenterol Clin N Am. 2002;31(4 supp):S89–S109.CrossRefGoogle Scholar
  4. 38.
    Horvath KD, Swanstrom LL, Jobe BA. The short esophagus: pathophysiology, incidence, presentation, and treatment in the era of laparoscopic antireflux surgery. Ann Surg. 2000;232(5):630–40.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 39.
    Bremner RM, Crookes PF, Costantini M, DeMeester TR, Peters JH. The relationship of esophageal length to hiatal hernia in gastroesophageal reflux disease. Gastroenterology. 1992;102:A45.Google Scholar
  6. 40.
    Hinder RA, Filipi CJ, Wescher G, et al. Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann Surg. 1994;220:472–81.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 41.
    Cadiere GB, Houben JJ, et al. Laparoscopic Nissen fundoplication: technique and preliminary results. Br J Surg. 1994;81:400–3.CrossRefPubMedGoogle Scholar
  8. 42.
    Peters JH, Heimbucher J, Kauer WKH, et al. Clinical and physiologic comparison of laparoscopic and open Nissen fundoplication. J Am Coll Surg. 1995;180:385–93.PubMedGoogle Scholar
  9. 43.
    Hunter JG, Swanstrom LL, Waring JP. Dysphagia after laparoscopic antireflux surgery: the impact of operative technique. Ann Surg. 1996;224:51–7.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 44.
    Evangelist FA, Taylor FFH, Alford JD. The modified Collis-Nissen operation for control of gastroesophageal reflux. Ann Thorac Surg. 1978;26:107–11.CrossRefPubMedGoogle Scholar
  11. 45.
    Siewert JR, Isolauri J, Feussner H. Reoperation following failed fundoplication. World J Surg. 1989;13:791–7.CrossRefPubMedGoogle Scholar
  12. 46.
    Stirling MC, Orringer MB. Surgical treatment after the failed antireflux operation. J Thorac Cardiovasc Surg. 1986;92:667–72.PubMedGoogle Scholar
  13. 47.
    Moghissi I. Intrathoracic fundoplication for reflux stricture associated with short esophagus. Thorax. 1983;38:36.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 48.
    Pennell T. Supradiaphragmatic correction of esophageal reflux strictures. Ann Surg. 1981;193:655.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 49.
    Safaie-Shirazi S, Sike WL, Anuras S, et al. Nissen fundoplication without crural repair. Arch Surg. 1974;108:424.CrossRefPubMedGoogle Scholar
  16. 50.
    Burnett HF, Read RC, Morris WB, et al. Management of complications of fundoplication and Barrett’s esophagus. Surgery. 1977;82:521.PubMedGoogle Scholar
  17. 51.
    Mansour K, Burton H, Miller J, et al. Complications of intrathoracic Nissen fundoplication. Ann Thorac Surg. 1981;32:173–8.CrossRefPubMedGoogle Scholar
  18. 52.
    Rossman F, Brantigan CO, Sawyer RB. Obstructive complications of the Nissen fundoplication. Am J Surg. 1979;138:360.CrossRefGoogle Scholar
  19. 53.
    Adler RH. Collis gastroplasty: origin and evolution. Ann Thorac Surg. 1990;50:839–42.CrossRefPubMedGoogle Scholar
  20. 54.
    Pearson FG. Surgical management of acquired short esophagus with dilatable peptic stricture. World J Surg. 1977;1:463.CrossRefPubMedGoogle Scholar
  21. 55.
    Pearson FG, Henderson RD. Long-term follow-up of peptic strictures managed by dilatation, modified Collis gastroplasty and Belsey hiatus hernia repair. Surgery. 1976;80:396.PubMedGoogle Scholar
  22. 56.
    Henderson RD, Marryatt GV. Total fundoplication gastroplasty (Nissen gastroplasty): five-year review. Ann Thorac Surg. 1985;39:74.CrossRefPubMedGoogle Scholar
  23. 57.
    Orringer MB, Orringer JS. The combined Collis-Nissen operation: early assessment of reflux control. Ann Thorac Surg. 1982;33:534.CrossRefPubMedGoogle Scholar
  24. 58.
    Martin CJ, Cox MR, Cade RJ. Collis-Nissen gastroplasty fundoplication for complicated gastro-oesophageal reflux disease. Aust N Z J Surg. 1992;62:126–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Medical Campus University of Oldenburg, School of Medicine and Health Sciences, University Hospital for Visceral Surgery, Pius-Hospital OldenburgOldenburgGermany
  2. 2.Minimal Access, Metabolic and Bariatric Surgery, Max Super Specialty Hospital SaketNew DelhiIndia

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