A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy

Summary:. Treament of hiatal hernia remains a challenge for surgeons. The techniques for treatment started with cruroplasty, which was later associated with extensive mobilization of the esophagus, with or without fundoplication. Other solutions included the use of synthetic or biological mesh and a...

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Main Authors:	Nicolas M. Abboud, MD, Margot Rimbault, MD, Sofie Abboud, MS, Issam El Nakadi, MD, PhD, Fadi G. Charara, MD
Format:	Article
Language:	English
Published:	Wolters Kluwer 2020-12-01
Series:	Plastic and Reconstructive Surgery, Global Open
Online Access:	http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003302

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spelling	doaj-7a15b0ccb9fa457e9f0384b5fa8cfa912021-01-26T08:02:42ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-12-01812e330210.1097/GOX.0000000000003302202012000-00049A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total GastrectomyNicolas M. Abboud, MD0Margot Rimbault, MD1Sofie Abboud, MS2Issam El Nakadi, MD, PhD3Fadi G. Charara, MD4* From the Centre Hospitalier Universitaire de Tivoli, La Louvière, Belgium† Hôpital Erasme, Brussels, Belgium.† Hôpital Erasme, Brussels, Belgium.† Hôpital Erasme, Brussels, Belgium.* From the Centre Hospitalier Universitaire de Tivoli, La Louvière, BelgiumSummary:. Treament of hiatal hernia remains a challenge for surgeons. The techniques for treatment started with cruroplasty, which was later associated with extensive mobilization of the esophagus, with or without fundoplication. Other solutions included the use of synthetic or biological mesh and autologous tissue reinforcement. Despite these therapeutic strategies, the recurrence rate for hiatal hernia is significant, and no existing treatments have had much success in reducing this rate. Total gastrectomy, as in this case, represents an additional challenge because of the absence of gastric tissue, which can buttress the pillars’ repair. This case report introduces a novel approach for the treatment of recurrent hiatal hernia, using a pedicled vertical rectus abdominis myocutaneous flap.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003302
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Nicolas M. Abboud, MD Margot Rimbault, MD Sofie Abboud, MS Issam El Nakadi, MD, PhD Fadi G. Charara, MD
spellingShingle	Nicolas M. Abboud, MD Margot Rimbault, MD Sofie Abboud, MS Issam El Nakadi, MD, PhD Fadi G. Charara, MD A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy Plastic and Reconstructive Surgery, Global Open
author_facet	Nicolas M. Abboud, MD Margot Rimbault, MD Sofie Abboud, MS Issam El Nakadi, MD, PhD Fadi G. Charara, MD
author_sort	Nicolas M. Abboud, MD
title	A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy
title_short	A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy
title_full	A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy
title_fullStr	A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy
title_full_unstemmed	A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy
title_sort	surgical alternative in the treatment of recurrent diaphragmatic hernia after total gastrectomy
publisher	Wolters Kluwer
series	Plastic and Reconstructive Surgery, Global Open
issn	2169-7574
publishDate	2020-12-01
description	Summary:. Treament of hiatal hernia remains a challenge for surgeons. The techniques for treatment started with cruroplasty, which was later associated with extensive mobilization of the esophagus, with or without fundoplication. Other solutions included the use of synthetic or biological mesh and autologous tissue reinforcement. Despite these therapeutic strategies, the recurrence rate for hiatal hernia is significant, and no existing treatments have had much success in reducing this rate. Total gastrectomy, as in this case, represents an additional challenge because of the absence of gastric tissue, which can buttress the pillars’ repair. This case report introduces a novel approach for the treatment of recurrent hiatal hernia, using a pedicled vertical rectus abdominis myocutaneous flap.
url	http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003302
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A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy

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