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Updated: Nov 9, 2025
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
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SIMULTANEOUS HIATAL HERNIA PLASTICS WITH FUNDOPLICATION, LAPAROSCOPIC CHOLECYSTECTOMY AND UMBILICAL HERNIA REPAIR
Valeriy V Boiko1, Kyrylo Yu Parkhomenko2, Kostyantyn L Gaft1
1STATE INSTITUTION «INSTITUTE OF GENERAL AND EMERGENCY SURGERY NAMED AFTER V.T. ZAITSEV OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE», KHARKIV, UKRAINE.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|April 14, 2021
Summary
This case report details successful simultaneous laparoscopic surgery for hiatal hernia, gastroesophageal reflux disease, cholecystolithiasis, and umbilical hernia. Patients experienced good outcomes with no recurrence of hernias or reflux symptoms post-operation.
Area of Science:
- Gastroenterology and General Surgery
- Minimally Invasive Surgical Techniques
Background:
- Multimorbid pathology involving hiatal hernia, gastroesophageal reflux disease (GERD), cholecystolithiasis, and umbilical hernia presents complex surgical challenges.
- Simultaneous surgical correction is explored as a potential management strategy for patients with these co-existing conditions.
Observation:
- The study reports on patients undergoing simultaneous laparoscopic procedures including hiatal hernia repair with fundoplication, laparoscopic cholecystectomy, and umbilical hernia alloplasty.
- Umbilical hernia repair utilized the intraperitoneal onlay mesh (IPOM) method in three cases and a hybrid open-laparoscopic approach in one case.
- Postoperative complications were minimal, including trocar wound infiltrate and transient hyperthermia, both managed conservatively.
Findings:
- All patients achieved successful outcomes following the simultaneous surgical interventions.
- No hernia recurrences were observed during the follow-up period.
- Clinical manifestations of gastroesophageal reflux disease (GERD) resolved post-surgery.
Implications:
- Simultaneous laparoscopic surgery for combined hiatal hernia, GERD, gallstones, and umbilical hernia is a feasible and effective treatment option.
- This approach potentially reduces overall treatment time and healthcare costs for patients with complex abdominal pathologies.
- Minimally invasive techniques like laparoscopic surgery and IPOM mesh offer good outcomes with manageable complications for these combined conditions.
