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Congenital hiatus hernia: A case series
Didem Baskin Embleton1, Ahmet Ali Tuncer1, Mehmet Surhan Arda2
1Department of Pediatric Surgery, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey.
Northern Clinics of Istanbul
|July 13, 2019
Summary
Congenital hiatus hernia in infants is rare. Recurrence was more frequent with Thal fundoplication, suggesting mediastinal dissection may prevent recurrence in complex cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Congenital hiatus hernia is a rare condition in infants.
- Management strategies for this condition require careful consideration.
Purpose of the Study:
- To describe a cohort of infants diagnosed with congenital hiatus hernia.
- To evaluate the management and outcomes of these patients.
Main Methods:
- Retrospective analysis of 7 infant patients (3 male, 4 female) diagnosed between 2010 and 2016.
- Evaluation of demographic data, symptoms, diagnostic methods (X-ray, CT, upper GI series), surgical procedures (laparotomy/laparoscopy), and follow-up.
- Specific surgical techniques included Nissen fundoplication (2 patients) and Thal fundoplication (3 patients).
Main Results:
- One patient diagnosed prenatally; mean age at diagnosis was 18.6 months for others.
- Hernia types included IV (4 patients), III (2 patients), and I (1 patient).
- Recurrence of hernia occurred in 2 patients who underwent Thal fundoplication.
Conclusions:
- Thal fundoplication may be associated with a higher recurrence rate for sliding hernias in this series.
- Achieving adequate abdominal esophagus length through mediastinal dissection may be crucial for preventing recurrence, especially when the esophagogastric junction is intrathoracic.
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