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[Incarcerated giant hiatal hernia]

M D Pérez Díaz1, F Turégano Fuentes, A Pérez Morera

  • 1Servicio de Cirugía General I, Hospital General Gregorio Marañón, Madrid.

Revista Espanola De Enfermedades Digestivas
|December 1, 1993
PubMed
Summary

Surgical repair of large incarcerated hiatal hernias is safe and effective in elderly patients. This procedure relieves symptoms and prevents serious complications, offering a good outcome for this demographic.

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Area of Science:

  • Gastroenterology
  • Geriatric Surgery
  • Surgical Oncology

Context:

  • Massive incarcerated hiatal hernia is a common condition in the elderly population.
  • This study reviews clinical aspects, treatment options, and surgical outcomes for large incarcerated hiatal hernias.

Purpose:

  • To evaluate the safety and efficacy of surgical repair for massive incarcerated hiatal hernias in elderly patients.
  • To analyze the clinical presentation, surgical techniques, and outcomes in a series of 28 patients.

Summary:

  • The study included 28 elderly patients (average age 66) with large incarcerated hiatal hernias, including sliding, mixed, and paraesophageal types.
  • Twenty-seven patients underwent elective surgical repair, involving hernia reduction, hiatus closure, and an antireflux procedure.

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  • There was no surgical mortality and 18% morbidity, unrelated to the procedure. No emergency surgeries were required.
  • Impact:

    • Surgical correction of massive incarcerated hiatal hernias is well-tolerated in the elderly.
    • The procedure effectively relieves symptoms associated with large hiatal hernias.
    • Surgical intervention can prevent potentially serious complications in elderly patients with this condition.