Ligamentum teres augmentation (LTA) for hiatal hernia repair after minimally invasive esophageal resection: a new use for an old structure

Hiatal hernias with intrathoracic migration of the intestines are serious complications after minimally invasive esophageal resection with gastric sleeve conduit. High recurrence rates have been reported for standard suture hiatoplasties. Additional mesh reinforcement is not generally recommended du...

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Bibliographic Details
Main Authors: Runkel, Mira (Author) , Kuvendjiska, Jasmina (Author) , Marjanovic, Goran (Author) , Fichtner-Feigl, Stefan (Author) , Diener, Markus K. (Author)
Format: Article (Journal)
Language:English
Published: 06 October 2021
In: Langenbeck's archives of surgery
Year: 2021, Volume: 406, Issue: 7, Pages: 2521-2525
ISSN:1435-2451
DOI:10.1007/s00423-021-02284-9
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00423-021-02284-9
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Author Notes:Mira Runkel, Jasmina Kuvendjiska, Goran Marjanovic, Stefan Fichtner-Feigl, Markus K. Diener
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Summary:Hiatal hernias with intrathoracic migration of the intestines are serious complications after minimally invasive esophageal resection with gastric sleeve conduit. High recurrence rates have been reported for standard suture hiatoplasties. Additional mesh reinforcement is not generally recommended due to the serious risk of endangering the gastric sleeve. We propose a safe, simple, and effective method to close the hiatal defect with the ligamentum teres.
Item Description:Gesehen am 18.08.2023
Physical Description:Online Resource
ISSN:1435-2451
DOI:10.1007/s00423-021-02284-9