Complications of Laparoscopic Paraesophageal Hernia Repair

Thadeus L. Trus, Tim Bax, William S. Richardson, Gene D. Branum, Susan J. Mauren, Lee L. Swanstrom, John Hunter

Research output: Contribution to journalArticle

156 Citations (Scopus)

Abstract

The complications of laparoscopic paraesophageal hernia repair at two institutions were reviewed to determine the rate and type of complications. A total of 76 patients underwent laparoscopic paraesophageal hernia repair between December 1992 and April 1996. Seventy-one of them had fundoplication (6 required a Collis-Nissen procedure). Five patients underwent hernia reduction and gastropexy only. There was one conversion to laparotomy. Traumatic visceral injury occurred in eight patients (11%) (gastric lacerations in 3, esophageal lacerations in 2, and bougie dilator perforations in 3). All lacerations were repaired intraoperatively except for one that was not recognized until postoperative day 2. Vagus nerve injuries occurred in at least three patients. Three delayed perforations occurred in the postoperative period (4%) (2 gastric and 1 esophageal). Two patients had pulmonary complications, two had gastroparesis, and one had fever of unknown origin. Seven patients required reoperation for gastroparesis (n = 2), dysphagia after mesh hiatal closure of the hiatus (n = 1), or recurrent herniation (n = 4). There were two deaths (3%): one from septic complications and one from myocardial infarction. Paraesophageal hernia repair took significantly longer (3.7 hours) than standard fundoplication (2.5 hours) in a concurrent series (P

Original languageEnglish (US)
Pages (from-to)221-228
Number of pages8
JournalJournal of Gastrointestinal Surgery
Volume1
Issue number3
StatePublished - May 1997
Externally publishedYes

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Hiatal Hernia
Herniorrhaphy
Lacerations
Gastroparesis
Fundoplication
Vagus Nerve Injuries
Stomach
Gastropexy
Fever of Unknown Origin
Deglutition Disorders
Hernia
Reoperation
Postoperative Period
Laparotomy
Myocardial Infarction
Lung
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Trus, T. L., Bax, T., Richardson, W. S., Branum, G. D., Mauren, S. J., Swanstrom, L. L., & Hunter, J. (1997). Complications of Laparoscopic Paraesophageal Hernia Repair. Journal of Gastrointestinal Surgery, 1(3), 221-228.

Complications of Laparoscopic Paraesophageal Hernia Repair. / Trus, Thadeus L.; Bax, Tim; Richardson, William S.; Branum, Gene D.; Mauren, Susan J.; Swanstrom, Lee L.; Hunter, John.

In: Journal of Gastrointestinal Surgery, Vol. 1, No. 3, 05.1997, p. 221-228.

Research output: Contribution to journalArticle

Trus, TL, Bax, T, Richardson, WS, Branum, GD, Mauren, SJ, Swanstrom, LL & Hunter, J 1997, 'Complications of Laparoscopic Paraesophageal Hernia Repair', Journal of Gastrointestinal Surgery, vol. 1, no. 3, pp. 221-228.
Trus TL, Bax T, Richardson WS, Branum GD, Mauren SJ, Swanstrom LL et al. Complications of Laparoscopic Paraesophageal Hernia Repair. Journal of Gastrointestinal Surgery. 1997 May;1(3):221-228.
Trus, Thadeus L. ; Bax, Tim ; Richardson, William S. ; Branum, Gene D. ; Mauren, Susan J. ; Swanstrom, Lee L. ; Hunter, John. / Complications of Laparoscopic Paraesophageal Hernia Repair. In: Journal of Gastrointestinal Surgery. 1997 ; Vol. 1, No. 3. pp. 221-228.
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