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Updated: Jan 28, 2026
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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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Procedimientos laparoscópicos para hernias hiatales recurrentes
Yu G Starkov1, N I Khizrieva1, R D Zamolodchikov1
1Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.
Khirurgiia
|January 27, 2026
Resumen
La reparación laparoscópica de hernias hiatales recurrentes (rHH) utilizando malla y esofagogastroplastia de Collis-Nissen para esófago corto muestra bajas tasas de recurrencia. Este enfoque quirúrgico maneja eficazmente las rHH, mejorando los resultados a largo plazo.
Área de la Ciencia:
- Gastroenterología
- Innovación Quirúrgica
- Reparación de Hernias
Sus antecedentes:
- Las hernias hiatales recurrentes (rHH) presentan desafíos quirúrgicos complejos.
- La identificación de las causas de recurrencia es crucial para un manejo eficaz.
Objetivo del estudio:
- Evaluar los resultados de la reparación con malla laparoscópica y la funduplicatura de Nissen para rHH.
- Evaluar la eficacia de la esofagogastroplastia de Collis-Nissen en casos de esófago corto.
Principales métodos:
- Se realizó reparación con malla laparoscópica y funduplicatura de Nissen en 36 pacientes con rHH.
- Se utilizó esofagogastroplastia de Collis-Nissen en 9 pacientes con esófago corto confirmado.
Principales resultados:
- Tiempo medio de cirugía: 3 horas; estancia hospitalaria media: 7 días.
- Causas comunes de recurrencia identificadas: desplazamiento del manguito/estómago (31), erupción de sutura (22), esófago corto no corregido (9).
- Se observó una baja tasa de recurrencia del 5,5% durante un período de seguimiento de 1 a 10 años.
Conclusiones:
- La reparación reforzada del hiato diafragmático con endoprótesis de malla es eficaz para las rHH.
- La esofagogastroplastia de Collis-Nissen reduce significativamente el riesgo de recurrencia en casos de esófago corto.
Palabras clave:
esofagogastroplastia de Collisfunduplicatura de Nissenrecurrencia de hernia hiatalesófago cortoMás Videos Relacionados
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