Request PDF on ResearchGate | On Jan 1, , D. Collet and others published Hernies hiatales et autres pathologies diaphragmatiques. Le traitement chirurgical vidéolaparoscopique des hernies hiatales par roulement est réalisable sans difficultés techniques majeures. Il est possible même chez. Although congenital and posttraumatic diaphragmatic hernias were described as far back as the 16th century, hiatal hernia was not recognized as a significant.

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A unified approach to surgical problems of the esophagogastric junction.

Massive hiatal hernias: the anatomic basis of repair.

The development of minimally invasive surgical techniques has led to a dramatic increase in the number of antireflux operations being performed. Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption. Find articles by David W. Hiatal hernias are most common in North America and Western Europe and rare in rural African communities.

How are hiatal hernias treated?

Two years later, he reported a series of consecutive cases of hiatal herniorrhaphies with good short-term results. Hiatus hernia a 20 year retrospective survey. Annular pancreas Accessory pancreas Johanson—Blizzard syndrome Pancreas divisum.

Another significant development occurred inwhen J.

There are four types of hiatal hernias. While Nissen was performing his initial fundoplications, Lucius Hill carefully studied the physiology and anatomy of the gastroesophageal junction and esophageal hiatus Fig.

He was hiataes enough to report this to the American Surgical Association meeting in The most common risk factors are obesity and older age.

Patients felt to have symptomatic diaphragmatic hernias were usually approached transabdominally. Bettex M, Oesch I.


They presented their work before the American Physiologic Society in Peptische oesophagins [Peptic esophagitis]. Quoted by Nissen Hiatalse. Technique for Radical Cure. Journal page Archives Contents list. These initial 3 techniques were tested during the period toand the results were unsatisfactory in about a third of the patients. Are the surgical procedures minimally invasive?

Charles Michel Billard 6 in Paris published the first case of esophagitis in a child in Inhe treated a year-old man with a herniee esophageal ulcer penetrating into the pericardium. This is probably attributable to huatales classic autopsy techniques of the time in which the esophagus was usually cut just above the diaphragm and taken out with the heart and lungs, losing all connections with its intra-abdominal segment and stomach.

Theirs was the first study of the anatomy and physiology of the cardia by means of contrast material. In spite of being melodramatic, Soresi’s report details the original abdominal approach to the hiatus. Philip Allison in Leeds and Norman Barrett in London played a major role in changing the established perception of the sliding hernia from that of an anatomic mechanical condition to a functional physiologically based disorder and established that reflux esophagitis hiatalds its complications were the physiologic consequences of anatomic abnormalities.

In that same year, Julius Friedenwald and Maurice Feldman 20 described the typical symptoms for the first time ie, heartburn and related these to the presence of hiatapes hiatal hernia.

hfrnies Mass General surgeons pioneered the laparoscopic approach to paraesophageal hernia repair more than two decades ago. These 2 cases were published inand Nissen named the operation gastroplication. Many clinicians such as Friedrich Albert von Zenker 8 and Sir Morrel Mackenzie 9 felt reflux of gastric juice into the esophagus to be only an agonal occurrence with no clinical significance.


Reduction of the cardia below the diaphragm was felt to be a key to maintaining the cardiophrenic angle and hence competence of the lower esophageal sphincter. Archived PDF from the original on 27 February What is robotic surgery, and is it better than minimally invasive surgery to treat hiatal hernias? Top of the page – Article Outline.

Traitement laparoscopiquedes volumineuses hernies hiatales – EM|consulte

Whereas Allison focused on reduction of the hiatal hernia and proper closure of the diaphragmatic sling, Norman Barrett 33 focused on restoration of the cardioesophageal angle as the critical element in the prevention of reflux Fig. Allison classified hiatal hernia into 2 types: Hill was as hiatlaes as his rivals, Nissen and Belsey, in proclaiming the superiority of his technique.

This technique may be the predecessor of the current use of pledgeted sutures. D ICD – Historical aspects of the anatomy of the cardia with special reference to hiatus hernia.

Thal described his technique inand inHill published his procedure. He also was a pioneer in the use of pH sensing to confirm the diagnosis of gastroesophageal reflux preoperatively and then confirm the physiologic success of his operations.

Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: Mass General surgeons have used robotic surgery for many types of laparoscopic procedures. The project had been suggested by the professor of physiology Henry Pickering Bowditch.

What is a hiatal hernia? The motility and pharmacology of the oesophagus in cardiospasm. From Wikipedia, the free encyclopedia.