Open AccessAnatomical landmarks in laparoscopic surgical treatment of hiatal hernia
Author(s) -
Matei Răzvan Bratu,
Bogdan Diaconescu,
Alexandru Th. Ispas,
Mircea Beuran,
Alexandru-Laurenţiu Chiotoroiu
Publication year - 2016
Publication title -
romanian medical journal
Language(s) - English
Resource type - Journals
eISSN - 2069-606X
pISSN - 1220-5478
DOI - 10.37897/rmj.2016.4.3
Subject(s) - medicine , hiatal hernia , esophageal hiatus , general surgery , hernia , dissection (medical) , surgery , diaphragm (acoustics) , esophagus , gastroesophageal junction , laparoscopy , reflux , disease , adenocarcinoma , physics , cancer , acoustics , loudspeaker
Hiatal hernia of the adult is a benign pathology of the abdominal esophagus and has an increasing incidence because of the association with obesity. Hiatal hernia becomes clinical manifest when it presents gastroesophageal reflux disease, when it is voluminous or is incarcerated. If for gastroesophageal reflux disease there is an endoscopic treatment, for hiatal hernia the treatment is purely surgical. Open or laparoscopic, the objectives of the surgical treatment are the same as for any abdominal hernia. The local anatomy plays an important role for fulfilling the objectives. This study provides a detailed description of the regional anatomy of the gastroesophageal junction and of the esophageal hiatus of the diaphragm based on the laparoscopic procedures performed in the Emergency Clinical Hospital of Bucharest. There were evaluated the aspects and the relations of the anatomical structures and also the consistency (because the manipulation and traction is made with the help of the instruments). In conclusion, a deep understanding of the regional anatomy and variations facilitates a safe laparoscopic dissection of diaphragmatic hiatus and abdominal esophagus and helps the surgeon to avoid intraoperative accidents.