title: [Reoperation for para-esophageal hiatal hernia following fundus plication].
abstract: A paraesophageal hiatus hernia was found in 15 of 86 patients examined radiologically due to symptoms after fundoplication (Nissen-Rosetti). 7 patients were reoperated 4 months to 12 years after fundoplication. Hernia repair was achieved by narrowing of the hiatus with sutures (4), attachment of the left lobe of the liver (1) or a Gore-tex patch (1). Additional surgical measures were fundophrenicopexy (4) and ventral corpopexy (4). At follow-up 2-19 years later, 4 of 5 patients had symptomatic improvement but none was symptom free. On x-ray 2 patients had recurrent paraesophageal hernias and 1 patient a slipped fundoplication. We conclude that reoperation for paraesophageal hiatus hernia after fundoplication, with the attendant technical difficulties, is only indicated if severe symptoms are present.
authors.affiliation: Allgemeinchirurgische Klinik, Departement Chirurgie, Kantonsspital Basel.
authors.forename: C
authors.initials: C
authors.lastname: Ackermann
authors.forename: F
authors.initials: F
authors.lastname: Harder
mesh_terms: D000328:Adult; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D005748:Gastric Fundus / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000209:etiology*; D006551:Hernia, Hiatal / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013526:Surgical Mesh
vernacular_title: Reoperation wegen paraösophagealer Hiatushernie nach Fundoplikatio.