 |
|
Management of Recurrent Hiatal Hernia
Lucius D. Hill, MD
AMA Arch Surg. 1971;102(4):296-302.
Abstract
Recurrent hiatal hernia was corrected in 63 patients. Analysis of the previous procedures indicated that inadequate or no fixation sutures were employed or reflux was not corrected at the previous operation, or both. Ancillary procedures including vagotomy, pyloroplasty, and gastric resection did not prevent the complications and symptoms if reflux was not corrected. The operation for recurrent hernia consisted of posterior gastropexy employing the median arcuate ligament coupled with calibration of the cardia. Results are classified as excellent to good in 81% of the cases. There were two deaths in this series for a mortality of 3.3%, contrasted to a mortality of 0.5% for 425 patients having elective repair of hiatal hernia. There has been no subsequent recurrent herniation in this series, with a follow-up extending to eight years and a mean follow-up of 3.3 years.
Author Affiliations
Seattle
From the Department of General, Thoracic, and Cardiovascular Surgery, Virginia Mason Medical Center, Seattle.
Footnotes
Accepted for publication Dec 15, 1970.
Read before the 78th annual meeting of the Western Surgical Association, Colorado Springs, Colo, Nov 19, 1970.
Reprint requests to Department of Surgery, Mason Clinic, 1118 Ninth Ave, Seattle 98101 (Dr. Hill).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Recurrent Hiatal Hernia Repair: A Potential Surgical Dilemma
Zucker et al.
Arch Surg 1982;117:413-414.
ABSTRACT
Effective Surgical Therapy of Esophagitis: Experience With Belsey, Hill, and Nissen Operations
Sillin et al.
Arch Surg 1979;114:536-541.
ABSTRACT
Gastroesophageal Reflux: A Panel by Correspondence
Arch Surg 1974;108:16-23.
ABSTRACT
|
