New Technologies in Hiatal Hernia Repair: Robotics, Single Port

  • Davide LomantoEmail author
  • Hrishikesh P. Salgaonkar
  • Sujith Wijerathne


Hiatus hernia (HH) involves herniation of contents of the abdominal cavity through the diaphragm into the mediastinum. The first description of hiatus hernias dates back to 1853 by a physician, Henry Ingersoll Bowditch 7 [1]. Then in 1926, Ake Akerlund, a Swedish radiologist, coined the term hiatus hernia. He further classified HH into three types, which is still in use 7 [2]. HH occurs due to enlargement of the diaphragmatic aperture, which then allows herniation of abdominal contents into the mediastinal cavity, most common organ being the stomach but may also contain other viscera like the colon or spleen. Until the 1950s the relationship of HH with gastroesophageal reflux disease (GERD) was not appreciated. While the type I or sliding HH are more commonly associated with GERD, the larger types II–IV or paraesophageal hernias (PEH) are associated with gastric volvulus, leading to mucosal ischemia, strangulation, and gastric obstruction.


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Copyright information

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

Authors and Affiliations

  • Davide Lomanto
    • 1
    Email author
  • Hrishikesh P. Salgaonkar
    • 1
  • Sujith Wijerathne
    • 1
  1. 1.Department of Surgery, Minimally Invasive Surgical CentreNational University Health SystemSingaporeSingapore

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