Laparoscopic adjustable gastric banding in a patient with an incidental para-hiatal hernia.
Laparoscopic adjustable gastric banding (LAGB) in patients with a sliding hiatus hernia has become an accepted procedure. However, LAGB in patients with less common types of diaphragmatic hernia is rarely described. We report a super-super-obese woman with a para-hiatal hernia (non-hiatal, diaphragmatic hernia) where LAGB was performed. The para-hiatal hernia was successfully repaired laparoscopically at the same time that the LAGB was performed. A para-hiatal hernia is not a contraindication to LAGB and can be repaired at the same operation.
Ramalingam
Ganesh
G
Department of Surgery, Alexandra Hospital, Singapore. ganesh_ramalingam@alexhosp.com.sg
A D
Rao
R
T
Leese
L
H G
Baladas
B
D000328:Adult; D003964:Diaphragm / Q000601:surgery; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000601:surgery*; D006801:Humans; D033162:Incidental Findings; D010535:Laparoscopy / Q000379:methods*; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*