Abstract

CLAROS B., Nataniel; PINILLA L, Ramiro; ROJAS R, Daniel  and  QUISPE, Tania. Laparoscopic repair of paraesophageal hiatal hernia with prosthetic material. Cuad. - Hosp. Clín. [online]. 2018, vol.59, n.1, pp.49-55. ISSN 1562-6776.

Abstract The surgical management of Paraesophageal Hiatal Hernia can be performed by left thoracotomy or by laparoscopy. Both approaches are acceptable, but currently the laparoscopic approach has increased greatlydue to the characteristics of minimal invasiveness, but with the use of prosthetic material as a form of reinforcement, when the esophageal hiatus is greater than 5 cm. The objectives of the laparoscopic approach are a complete anatomic reduction and lower esophageal sphincter competition. These objectives are achieved with the closure of the diaphragmatic crural and laparoscopic fundoplication. Two clinical cases were presented where Polyester mesh, fixed with tackers, was placed in a C shaped disposition with the opening facing the anterior and the overlap in front of the esophagus. Conclusion: The use of prosthetic material in the repair of the defect of Giant Hiatal Hernia is a reasonable alternative

Keywords : Paraesophageal Hiatal Hernia; Laparoscopic funduplication; Poliester Mesh.

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