A case of laparoscopic mesh repair of esophageal hiatal hernia showing upside down stomach Yu SHIBAHARA 1 , Haruhiko SHIDA 1 , Manato NEGISHI 1 , Masayuki AKIYA 1 , Yoshin KOYAMA 1 , Seiichi YAMAGATA 1 1Department of Surgery, JCHO Tokyo Shinjuku Medical Center Keyword: 食道裂孔ヘルニア , upside down stomach , 腹腔鏡下手術 pp.379-385
Published Date 2019/9/15
DOI https://doi.org/10.11477/mf.4426200730
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 A 76-year-old woman with eight years history of esophageal hiatal hernia was admitted to our hospital because of vomiting. Computed tomography and fluoroscopy demonstrated herniation of both stomach and transverse colon into the mediastinum. Esophageal hiatal hernia showing upside down stomach and mesenterioaxial volvulus were diagnosed, and laparoscopic surgery was performed. Herniated stomach and transverse colon were reduced and the large hiatal defect (6cm) was closed by primary suture. Suturing repair was reinforced with composite mesh and Toupet fundoplication was added. Postoperative course was uneventful and there was no postoperative relapse. Laparoscopic surgery using mesh for esophageal hiatal hernia with upside down stomach was useful and safe.

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