Abstract
A postoperative hiatal hernia is a rare but serious complication of fundoplication. We report herein a 62-year-old female who presented with abdominal pain and vomiting 2 years following laparoscopic Nissen fundoplication. At laparotomy, the stomach and the transverse colon were intrathoracic (type IV hiatal hernia); the esophageal hiatus was markedly dilated with no evidence that they had been approximated. At 18 months follow-up, she is doing very well apart from occasional heartburn. A high index of suspicion is needed to diagnose postoperative hiatal hernias. A routine closure of the crura with nonabsorbable suture material and an avoidance of iatrogenic pneumothorax may help to reduce the occurrence of this problem.
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Received: March 3, 2000 / Accepted: July 25, 2000
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Awad, Z., Magee, D., Wanis, N. et al. Type IV Hiatal Hernia Post Laparoscopic Nissen Fundoplication: Report of a Case. Surg Today 31, 156–158 (2001). https://doi.org/10.1007/s005950170201
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DOI: https://doi.org/10.1007/s005950170201