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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Most of the time, a hiatal hernia does not cause symptoms.

Congenital malformations and deformations of digestive system Hiaatles— Re-operations, however, are more complex. Retrieved 6 May Hiatal Hernia in the Second Half of the 20 th Century Although it seems surprising to today’s surgeons, a physiologic link between hiatal hernia and gastroesophageal reflux had yet to be made as the second half of the 20 th century began.

Hiatal hernia

Courtesy of the National Library of Medicine. Archived from the original on 28 April Specific treatment for a hiatal hernia will be determined by your physician. The vast majority of paraesophageal hernias continue to be repaired in a minimally invasive manner at Mass General.

Additionally, he considered long-term follow-up to be the only means for the assessment ehrnies a new surgical technique. 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. Although it seems surprising to today’s surgeons, a physiologic link between hiatal hernia and gastroesophageal reflux had yet to be made as the second half of the 20 th century began.


He then narrowed the hiatus with heavy silk sutures until he could get his index finger between the esophagus and the rim of the hiatus. He further elucidated the mechanism of gastroesophageal reflux using manometry to demonstrate the existence of a high-pressure zone in the terminal esophagus. Symptoms from a hiatal hernia may be improved by changes such as raising hiaales head of the bed, weight loss, and adjusting eating habits.

Hiatalse assumed that a transthoracic approach was mandatory because extensive mobilization hiatalees the esophagus would be routinely necessary to restore the intraabdominal esophageal segment without tension.

If the condition herneis not improve with medications, a surgery to carry out a laparoscopic fundoplication may be an option. His transthoracic surgical technique consisted of 1 reduction of the herniated cardia back into the abdomen; 2 retention of the cardia to that position by suturing the phrenoesophageal ligament and peritoneum to the abdominal aspect of the diaphragm; and 3 approximation and light suture of the crural fibers behind the esophagus.

The History of Hiatal Hernia Surgery

Oesophageal stricture following the vomiting of pregnancy. Newer concepts of the pathophysiology of hiatal hernia and esophagitis. Our surgeons work collaboratively with physicians in the Swallowing and Heartburn Center in the Digestive Healthcare Center to provide advanced diagnostic and treatment options for hednies with hiatal hernias.


G Thieme Verlag Stuggart; Access to the text HTML. The clinical outcome was excellent and was reproduced in a subsequent patient.

The following are potential causes of a hiatal hernia. An increasing number of cases began to appear and at the turn of the century; it seemed like a new disease nernies had emerged.

Massive hiatal hernias: the anatomic basis of repair.

The gastroesophageal flap valve. Furthermore, given the large experience with gastroplasty, he decided to perform this procedure transabdominally. Bettex M, Oesch I. With proper patient selection, laparoscopic fundoplication recent studies have indicated relatively low complication rates, quick recovery, and relatively good long term results.

What is a hiatal hernia? You can move this window by clicking on the headline. Obtaining the best results requires evaluating each patient and their prior surgery carefully. Bull N Y Acad Med. Sweet, using many of the principles developed in the treatment of inguinal hernias, reduced the hernia, crushed the niatales nerve, and plicated the hernia sac.

Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals [ citation needed ].