title: Iatrogenic hiatal and diaphragmatic hernias.
abstract: Seven patients with hernias occurring after Belsey hiatal hernia repair are described. These hernias were of two types. Four occurred through the hiatus, had the appearance of a parahiatal hernia, and were attributed to the failure to correct a shortened esophagus. In three patients the hernia occurred through a disrupted counterincision in the diaphragm. In the second group postoperative abdominal distension and possibly technical faults were incriminated. In the first group satisfactory repair was achieved by a Collis-Belsey gastroplasty and an antireflux procedure. In the second group reduction of the hernia and resuture of the diaphragm incision encompassing all layers corrected these life threatening hernias.
mesh_terms: D005260:Female; D005748:Gastric Fundus / Q000601:surgery; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging / Q000517:prevention & control / Q000601:surgery*; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging / Q000517:prevention & control / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000517:prevention & control / Q000601:surgery*; D011859:Radiography; D012086:Reoperation