Request PDF on ResearchGate | On Jan 1, , D. Collet and others published Hernies hiatales et autres pathologies diaphragmatiques. Le traitement chirurgical vidéolaparoscopique des hernies hiatales par roulement est réalisable sans difficultés techniques majeures. Il est possible même chez. Although congenital and posttraumatic diaphragmatic hernias were described as far back as the 16th century, hiatal hernia was not recognized as a significant.

Author: Tojataur Tojat
Country: Oman
Language: English (Spanish)
Genre: Literature
Published (Last): 22 September 2008
Pages: 342
PDF File Size: 19.98 Mb
ePub File Size: 14.21 Mb
ISBN: 594-3-13389-275-9
Downloads: 43844
Price: Free* [*Free Regsitration Required]
Uploader: Miran

If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: The patient survived, and Nissen noted in follow-up that the patient’s reflux symptoms had been abolished.

Gastropexy as the lone procedure in the surgical repair of hiatus hernia.

The wrap was performed around a large-bore indwelling intraesophageal stent. Medication may be prescribed to neutralize stomach acid, decrease acid production or strengthen the lower esophageal sphincter a muscle that prevents stomach acid from coming up into the esophagus. The Mayo clinic group refined the criteria for patient selection, choosing to observe patients whose hiatal hernias were discovered radiographically during the course of a general examination.

Donahue and Demeester significantly improved Nissen’s operation, and they were the first to truly understand its physiologic mechanism. You can move this window by clicking on the headline. He believed these crural fibers functioned as a pinchcock to prevent reflux.


Please review our hernied policy. Diseases of the digestive system primarily K20—K93— Thal described his herneis inand inHill published his procedure.

The following are potential causes of a hiatal hernia. There is a widening of the muscular hiatal tunnel and circumferential laxity of the phrenoesophageal ligamentallowing a portion of the gastric cardia to herniate upward into the posterior mediastinum. Allison should be credited for initiating the modern era of antireflux surgery.

Sweet also reported that in some cases the esophagus was congenitally short, preventing reduction of the stomach into the abdomen. Personal information regarding our website’s visitors, including their identity, is confidential. Obesityolder age, major trauma [1]. You may thus request that your data, should it be inaccurate, incomplete, unclear, hiatsles, not be used or stored, be corrected, clarified, updated or deleted.

InHenry Ingersoll Bowditch 5 reviewed all cases of diaphragmatic hernia published between and Journal page Archives Contents list. JCHIR Traitement laparoscopiquedes volumineuses hernies hiatales.

Massive hiatal hernias: the anatomic basis of repair.

The gastroesophageal flap valve. Hernia of the stomach through the esophageal orifice of the diaphragm. Indisillusioned with the results of gastropexy, Nissen recalled the success of his procedure in Istanbul and opted to create a similar Witzel tube around the esophagus, though this time without esophageal resection. While Nissen was performing his initial fundoplications, Lucius Hill carefully studied the physiology and anatomy of the gastroesophageal junction and esophageal hiatus Fig.

In spite of the fact that nearly all hiatal hernia repairs had been performed transthoracically, Nissen performed a laparotomy, reduced the hernia, and performed an anterior gastropexy. What is robotic surgery, and is it better than minimally invasive surgery to treat hiatal hernias? A type II hernia results from a localized defect in the phrenoesophageal ligament while hiatalles gastroesophageal junction remains fixed to the pre aortic fascia and the median arcuate ligament.


Although congenital and posttraumatic diaphragmatic hernias were described as far back as the 16th century, hiatal hernia was not recognized as a significant clinical entity until the first half of the 20 herniee century.

Hiatal hernia

Diseases of the Esophagus”. In this situation the abnormality is usually referred to as an intrathoracic stomach.

Many clinicians such as Friedrich Albert von Zenker 8 and Sir Morrel Mackenzie 9 felt reflux of gastric juice into the esophagus to be only an agonal occurrence hrnies no clinical significance.

Intestinal atresia Duodenal atresia Meckel’s diverticulum Hirschsprung’s disease Intestinal malrotation Dolichocolon Enteric duplication cyst.

Combining his understanding of lower esophageal sphincter function and anatomy, Hill demonstrated that maintenance of the cardiophrenic angle was the essential element in the control of gastroesophageal reflux.

Long-term follow-up of peptic strictures managed by dilatation, modified Collis gastroplasty and Belsey hiatus hernia repair. The most common risk factors are obesity and older age.