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South African Journal of Surgery

On-line version ISSN 2078-5151

S. Afr. j. surg. vol.49 n.1 Cape Town Feb. 2011

 

GASTRO-INTESTINAL

 

Laparoscopic treatment of type III para-oesophageal hernia

 

 

M. L. van Niekerk

M.B. Ch.B., M.Med. (surg.), F.C.S. (s.A.). Division of Paediatric Surgery, Department of Surgery, University of Pretoria

 

 


ABSTRACT

Type III congenital para-oesophageal hernia is a rare condition in children and is characterised by the herniation of both a substantial portion of the stomach and the gastro-oesophageal junction into the chest. This report describes the laparoscopic repair of 4 para-oesophageal hernias in children between 2002 and 2010. All hernias were treated successfully using the laparoscopic method. There were no recurrences. The laparoscopic repair of a para-oesophageal hernia is technically challenging, but is feasible and safe in the hands of paediatric surgeons familiar with laparoscopic anti-reflux surgery.


 

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REFERENCES

1. DeUgarte DA, Hirchl RB, Geiger D. Robotic repair of congenital paraesophageal hiatal hernia. J Laparoendosc Adv Surg Tech 2009;19:S-187-S-189.         [ Links ]

2. Yagi M, Nose K, Yamauchi K, et al. Laparoscopic intervention for intrathoracic stomach in infants. Surg Endosc 2003;17:1636-1639.         [ Links ]

3. Mutabagani KH, Teich S, Long FR, et al. Primary intrathoracic gastric volvulus in a newborn. J Pediatr Surg 1999;34:1869-1871.         [ Links ]

4. Karpelowsky JS, Wiesenthaler N, Rode H. Primary paraesophageal hernia in children. J Pediatr Surg 2006;41:1588-1593.         [ Links ]

5. Imamoglu M, Cay A, Kosucu P, et al. Congenital paraesophageal hiatal hernia: pitfalls in the diagnosis and treatment. J Pediatr Surg 2005;40:1128-1133.         [ Links ]

6. St Peter SD, Valuse LPA, Calkins CM, et al. Use of esophageal crural sutures and minimal esophageal dissection reduces the incidence of postoperative transmigration of laparoscopic Nissen fundoplication wrap. J Pediatr Surg 2007;42:25-29.         [ Links ]

7. Hashemi M, Peters JH, de Meester JR. Laparoscopic repair of large type III hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg 2000;190:553-561.         [ Links ]

8. Ponsky J, Rosen M, Fanny Y, et al. Anterior gastropexy may reduce the recurrence rate after laparoscopic paraesophageal hernia repair. Surg Endosc 2000;17:1036-1040.         [ Links ]

9. Fisichella PM, Patti MG. Laparoscopic repair of paraesophageal hiatal hernias. J Laparoendosc Adv Surg Tech 2008;18:629-631.         [ Links ]

10. Van der Zee DC, Bax NMA, Kramer WLM, et al. Laparoscopic management of a paraesophageal hernia with intrathoracic stomach in infants. Eur J Pediatr Surg 2001;11:52-54.         [ Links ]

11. Oelschlager BK, Barreca M, Chang L, et al. The use of small intestine submucosa in the repair of paraesophageal hernias: initial observations of a new technique. Am J Surg 2003;186:4-8.         [ Links ]

12. Fuller CB, Hagen JA, DeMeeste TL, et al. The role of fundoplication in the treatment of type II paraesophageal hernia. J Thorac Cardiovasc Surg 1996;111:655-661.         [ Links ]

13. Yazici M, Karaca I, Etensel B. Paraesophageal hiatal hernias in children. Dis Esophagus 2003;16:210-213.         [ Links ]

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