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Related Experiment Video

Updated: Feb 4, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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[The large hiatal hernia should be acknowledged and respected].

Bengt Håkanson1, Lars Lundell2, Ioannis Rouvelas3

  • 1Ersta sjukhus - kirurgiska kliniken Stockholm, Sweden Ersta sjukhus - kirurgiska kliniken Stockholm, Sweden.

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|October 10, 2018
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Summary

A hiatal hernia occurs when the stomach displaces into the chest cavity. While often asymptomatic, larger hernias can cause severe symptoms and surgical risks increase with patient age and comorbidities.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • A hiatal hernia involves stomach displacement through the diaphragm, a common condition often asymptomatic.
  • Risk factors include advanced age and obesity, with smaller hernias potentially causing gastroesophageal reflux.

Purpose of the Study:

  • To describe the clinical presentation, risk factors, and complications associated with hiatal hernias.
  • To highlight the challenges in managing large or incarcerated hiatal hernias.

Main Methods:

  • Review of existing literature on hiatal hernia epidemiology, symptomatology, and management.
  • Analysis of clinical outcomes based on hernia size, patient demographics, and surgical intervention.

Main Results:

  • Hiatal hernias are common, with age and obesity as primary risk factors.
  • Small hernias may lead to gastroesophageal reflux, while larger ones cause obstructive symptoms like dysphagia and pain.
  • Incarcerated hernias necessitate acute surgery, carrying high complication risks, especially in elderly patients with comorbidities.

Conclusions:

  • Hiatal hernias range from asymptomatic to life-threatening conditions requiring surgical intervention.
  • Management strategies should consider hernia size, patient factors, and potential surgical risks, particularly in acute or elderly cases.