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Techniques and pitfalls of laparoscopic paraesophageal hernia repair in severe kyphoscoliosis patients


1 Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, China
2 Department of Gastrointestinal Surgery, Jiangsu Jiangyin People's Hospital, Jiangsu, China

Correspondence Address:
Junsheng Li,
Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, 210009
China
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_113_18

PMID: 29974871

Background: Increasing evidence suggests that kyphoscoliosis may play a role in the pathophysiology of paraesophageal hernia development. The presence of severe kyphoscoliosis not only increases the incidence of paraesophageal hernia but also increases the risk of hiatal hernia (HH) repair. Moreover, the technical skills and the pitfalls of laparoscopic repair of HH in this special condition have yet been described. Methods: The technical skills, experience and pitfalls of laparoscopic paraesophageal hernia repair in severe kyphoscoliosis patients were described. These include perioperative care of patients' pulmonary function, patients' operating position and trocar placement, and the key steps and risks of laparoscopic HH repair in this special condition. Results: Paraesophageal HHs were successfully laparoscopically repaired, and prolonged hospital stay was due to post-operative pulmonary complications. Conclusion: These techniques are essential to minimise the perioperative complications in laparoscopic paraesophageal hernia repair in severe kyphoscoliosis patients, and great pulmonary care is required in these patients.


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    -  Li J
    -  Shao G
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04