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Laparoscopic reduction, crural repair, and fundoplication of large hiatal hernia.

Authors
Type
Published Article
Journal
The American Journal of Surgery
0002-9610
Publisher
Elsevier
Publication Date
Volume
163
Issue
4
Pages
425–430
Identifiers
PMID: 1532701
Source
Medline

Abstract

A technique for laparoscopic reduction, crural repair, and total fundoplication for large symptomatic hiatal hernia is described. The procedure entails the mobilization of the esophagogastric junction with crural repair by a continuous suture technique employing a special pre-formed jamming loop knot, followed by total fundoplication that is fixed proximally to the anterior margin of the diaphragmatic hiatus and distally to the esophagogastric junction. The procedure has been performed in eight elderly patients with a good outcome and accelerated recovery to full activity.

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