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.
Department of Thoracic and Cardiovascular Surgery and Heineman Medical Research Laboratories, Carolinas Medical Center, 1001 Blythe Boulevard Suite 300, Charlotte, NC 28203, USA.
Alexander
A
Fokin
Francis
F
Robicsek