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Thoracoscopic repair of hiatal hernia following fundoplication: a new approach to an old problem

K H Sartotelli1, S S Rothenberg, F M Karrer

  • 1Department of Surgery, The University of Colorado Health Sciences Center, Denver, USA.

Journal of Laparoendoscopic Surgery
|March 1, 1996
PubMed

Insights

A new thoracoscopic surgery effectively repaired hiatal hernias in children after fundoplication. This minimally invasive technique offers a successful treatment for this common complication.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Minimally Invasive Surgery

Background:

  • Postfundoplication hiatal hernias are a recognized complication following anti-reflux surgery.
  • Symptomatic recurrence necessitates surgical intervention.

Observation:

  • A novel thoracoscopic surgical technique was employed to address symptomatic postfundoplication hiatal hernias in three pediatric patients.
  • The procedure involved a minimally invasive approach through the chest.

Findings:

  • All three cases demonstrated successful repair of the hiatal hernias, confirmed by post-operative barium swallow studies.
  • The average operative time was 86 minutes (range 50-120 minutes).
  • The average hospital stay was short, averaging 2.3 days.

Implications:

  • This thoracoscopic approach represents a feasible and effective method for managing postfundoplication hiatal hernias in children.
  • The technique may reduce patient morbidity associated with open surgical repairs.
  • Further studies can explore the long-term outcomes and broader application of this surgical innovation.

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