Transposition of the esophageal hiatus: a useful addition to Belsey repair of hiatus hernia.
A novel method of hiatus hernia repair is presented in the course of which a 4-6 cm incision is made into tendinous portion of the diaphragm beginning at the esophagus hiatus and carried into the anterolateral direction. This allows the mobilized esophagus to be displaced anteriorly. A classic Belsey-procedure is done after which, not only the crura, but also part of the tendinous part of the diaphragm are united posteriorly making recurrence less likely.
Fokin
Alexander
A
Department of Thoracic and Cardiovascular Surgery and Heineman Medical Research Laboratories, Carolinas Medical Center, 1001 Blythe Boulevard Suite 300, Charlotte, NC 28203, USA.
Robicsek
Francis
F