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Transthoracic Repair of Giant Paraesophageal and Hiatal Hernias: A Systematic Review and Meta-Analysis.
Cureus
November 2024
Surgical Oncology, University Hospitals of Derby and Burton NHS Trust, Derby, GBR.
The utilization of transthoracic approaches for the repair of large hiatus hernias remains a topic of clinical debate. This study aims to evaluate the efficacy, safety, and recovery metrics for transthoracic hiatal hernia repair. A literature search was conducted using the key terms "hiatus hernia," "thoracotomy," "thoracic approach," and "Belsey Mark IV.
View Article and Find Full Text PDFOutcomes after revisional surgery for paraesophageal hernias at a high-volume tertiary care center.
Surg Endosc
December 2024
Division of Thoracic and Upper Gastrointestinal Surgery, Department of Surgery, McGill University Health Centre, L8 505-1650 Cedar Ave, Montreal, QC, H3G 1A4, Canada.
Article Synopsis
- Repairing recurrent giant paraesophageal hernias (PEH) has a higher complication rate than initial surgeries, which leads to hesitation in performing these procedures unless patients are symptomatic.
- A study analyzed outcomes of revisional PEH repairs compared to primary repairs, focusing on patient demographics and recovery times between 2012 and 2019.
- The research found that while revisional surgeries faced more complications, longer recovery times, and a higher conversion rate to open surgery, the incidence of severe complications was similar to those undergoing primary repairs.
Successful Hiatal Hernia Repair in a 95-Year-Old Patient: A Case Report.
Cureus
September 2024
Thoracic Surgery, Pulmonary Hospital "Odrodzenie", Zakopane, POL.
Article Synopsis
- - A sliding hiatal hernia is common, especially in older adults, but its incarceration is rare and requires urgent surgery if it occurs.
- - A case involving a 95-year-old woman showed she had a giant sliding incarcerated hiatal hernia causing thoracic pain, which was diagnosed using X-ray and CT scans.
- - After confirming the hernia strangulation, surgeons performed a successful laparotomy and Nissen fundoplication, allowing the patient to recover well despite the complexities of surgery in elderly patients.
A Possible Contraindication for Endoscopic Ultrasound-Guided Hepaticogastrostomy: A Giant Hiatal Hernia.
Cureus
August 2024
Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto, JPN.
We present the case of an 82-year-old female with obstructive jaundice secondary to a malignant distal biliary stricture. Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) was performed. The presence of a giant hiatal hernia induced dynamic liver movement during respiration, leading to unstable scope positioning.
View Article and Find Full Text PDFAssessing the effect of body mass index on perioperative outcomes and short-term recurrence after paraesophageal hernia repair.
Dis Esophagus
October 2024
Department of General and Thoracic Surgery, Virginia Mason Franciscan Health, Seattle, WA, USA.
Previous assessments suggest that surgical results of paraesophageal hernia (PEH) repair were negatively impacted by increasing levels of obesity. A better understanding of the association of obesity on outcomes of PEH repair will support surgeons making evidence-based decisions on the surgical candidacy of individual patients. This single institution retrospective cohort study included 884 consecutive patients with giant PEH undergoing surgical repair between 1 January 2000 and 30 June 2020.
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