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New Technologies in Hiatal Hernia Repair: Robotics, Single Port

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Laparo-endoscopic Hernia Surgery

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Abstract

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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Author information

Authors and Affiliations

  1. Department of Surgery, Minimally Invasive Surgical Centre, National University Health System, Singapore, Singapore

    Davide Lomanto, Hrishikesh P. Salgaonkar & Sujith Wijerathne

Authors
  1. Davide Lomanto
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  2. Hrishikesh P. Salgaonkar
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  3. Sujith Wijerathne
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Corresponding author

Correspondence to Davide Lomanto .

Editor information

Editors and Affiliations

  1. Em.Director of Surgical Department, Marienhospital Stuttgart, Stuttgart, Germany

    Reinhard Bittner

  2. Academic Teaching Hospital of Charitè Medical School, Vivantes Hospital, Department of Surgery and Center for Minimally Invasive Surgery, Berlin, Germany

    Ferdinand Köckerling

  3. Department of General Surgery, Creighton University School of Medicine, Omaha, Nebraska, USA

    Robert J. Fitzgibbons, Jr.

  4. Louisiana State University School of Medicine, Department of Surgery, Our Lady of the Lake Physician Group, Department of Surgery, Baton Rouge, Louisiana, USA

    Karl A. LeBlanc

  5. Norton Thoracic Institute, Dignity Health, Creighton University School of Medicine (Phoenix campus), Phoenix, Arizona, USA

    Sumeet K. Mittal

  6. Minimal Access, Metabolic and Bariatric Surgery, Max Super Specialty Hospital Saket, New Delhi, India

    Pradeep Chowbey

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Lomanto, D., Salgaonkar, H.P., Wijerathne, S. (2018). New Technologies in Hiatal Hernia Repair: Robotics, Single Port. In: Bittner, R., Köckerling, F., Fitzgibbons, Jr., R., LeBlanc, K., Mittal, S., Chowbey, P. (eds) Laparo-endoscopic Hernia Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55493-7_44

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  • DOI: https://doi.org/10.1007/978-3-662-55493-7_44

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  • Print ISBN: 978-3-662-55491-3

  • Online ISBN: 978-3-662-55493-7

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