Surgery of the Hiatus




Indications



Listen




Laparoscopic and Open Nissen Fundoplication




  • Evidence of gastroesophageal reflux disease (GERD) plus:

    • Sequelae of GERD refractory to medical therapy (eg, esophageal strictures, Barrett’s esophagus, recurrent aspiration, or pneumonia).
    • Persistent reflux symptoms despite maximal medical therapy.
    • Paraesophageal hernia.




Laparoscopic and Open Paraesophageal Hernia Repair




  • Objective evidence of paraesophageal herniation.
  • Many patients are asymptomatic and a large number of cases are found incidentally.




Contraindications



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Absolute




  • Inability to tolerate general anesthesia.
  • Uncorrectable coagulopathy.

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Jan 10, 2019 | Posted by in UROLOGY | Comments Off on Surgery of the Hiatus
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