[Paraesophageal hernias in elderly patients. An indication for laparoscopic surgery].
Paraesophageal hernias are uncommon conditions which appear mainly in elderly people, frequently associated with sliding hernias or gastric volvulus. Considered a high risk pathology, surgical management is preferred to avoid serious complications. Due to advanced age and operative risks, a laparoscopic approach was performed in the three patients with paraesophageal hernia. In mixed hernias, a Nissen or Toupet fundoplication and closure of the hiatal defect was carried out. In a case with gastric rotation, reduction of the herniated stomach and posterior partial fundoplication with gastropexy was performed. No postoperative complications occurred and recovery was satisfactory. Laparoscopic management seems to be a good choice for elective treatment of paraesophageal hernias in elderly patients.
Tabet
J
J
Servicio de Cirugía General y Digestiva, Hospital Clínic y Provincial, Universidad de Barcelona.
Lacy
A M
AM
Grande
L
L
Pera
M
M
García-Valdecasas
J C
JC
Fuster
J
J
Visa
J
J
D000368:Aged; D000369:Aged, 80 and over; D004935:Esophageal Diseases / Q000601:surgery*; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D008297:Male