title: Laparoscopic repair of hiatal hernia with mesenterioaxial volvulus of the stomach.
abstract: Although mesenterioaxial gastric volvulus is an uncommon entity characterized by rotation at the transverse axis of the stomach, laparoscopic repair procedures have still been controversial. We reported a case of mesenterioaxial intrathoracic gastric volvulus, which was successfully treated with laparoscopic repair of the diaphragmatic hiatal defect using a polytetrafluoroethylene mesh associated with Toupet fundoplication. A 70-year-old Japanese woman was admitted to our hospital because of sudden onset of upper abdominal pain. An upper gastrointestinal series revealed an incarcerated intrathoracic mesenterioaxial volvulus of the distal portion of the stomach and the duodenum. The complete laparoscopic approach was used to repair the volvulus. The laparoscopic procedures involved the repair of the hiatal hernia using polytetrafluoroethylene mesh and Toupet fundoplication. This case highlights the feasibility and effectiveness of the laparoscopic procedure, and laparoscopic repair of the hiatal defect using a polytetrafluoroethylene mesh associated with Toupet fundoplication may be useful for preventing postoperative recurrence of hiatal hernia, volvulus, and gastroesophageal reflux.
authors.affiliation: Department of Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo Kutsukake-cho Toyoake, Aichi 470-1192, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Inaba
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Sakurai
authors.forename: Jun
authors.initials: J
authors.lastname: Isogaki
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Komori
authors.forename: Ichiro
authors.initials: I
authors.lastname: Uyama
mesh_terms: D000368:Aged; D005260:Female; D018662:Fundoplication / Q000379:methods; D006551:Hernia, Hiatal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013277:Stomach Volvulus / Q000150:complications / Q000601:surgery*