title: Laparoscopic hiatal reconstruction and use of harmonic scalpel instrument.
abstract: The method of laparoscopic repair of hiatal hernia is accepted in surgery. Usually associated with Nissen fundoplication which is the most commonly performed antireflux operation. Within a ten-year period authors have done 90 antireflux operations, 52 was laparoscopic procedures. (30 operations for GERD, 10 for hiatal hernia, 12 for the combination of both.) A patient was submitted to operation with large hiatal hernia. He was treated laparoscopic way with success and good results. The Ultracision Harmonic Scalpel instrument helped their operation in many ways, and provided correct bloodless preparation of cardiac region. The authors demonstrate our procedure and the use of the Harmonic Scalpel. Their patient were completely pleased with the results after discharge, they are still under regular control.
authors.affiliation: Department of General Surgery, Kenézy Teaching Hospital of University Medical School of Debrecen, Budapest.
authors.forename: L
authors.initials: L
authors.lastname: Bokor
authors.forename: Z
authors.initials: Z
authors.lastname: Hajdu
authors.forename: Z
authors.initials: Z
authors.lastname: Szegedi
authors.forename: S
authors.initials: S
authors.lastname: Kathy
authors.forename: R
authors.initials: R
authors.lastname: Bagi
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D005500:Follow-Up Studies; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000601:surgery; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016896:Treatment Outcome; D014465:Ultrasonics