Transposition of the esophageal hiatus: a useful addition to Belsey repair of hiatus hernia
Author(s) -
Alexander A. Fokin
Publication year - 2004
Publication title -
interactive cardiovascular and thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 56
eISSN - 1569-9293
pISSN - 1569-9285
DOI - 10.1016/j.icvts.2004.02.013
Subject(s) - medicine , hiatus , diaphragm (acoustics) , esophagus , esophageal hiatus , hernia , surgery , transposition (logic) , anatomy , geology , paleontology , linguistics , philosophy , physics , acoustics , loudspeaker
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.
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