Amol Wagh, MS1, Gagandeep Talwar1, Chintan Patel, MS2, Saurabh Gandhi, MS1, Jasmine Agarwal1, Dharmesh Dhanani, MS2. 1Grant Govt. Medical College & Sir JJ Group of Hospitals, India, 2Kiran Multi-Super Speciality, India
OBJECTIVE: Parahiatal Hernia is a rare type of diaphragmatic hernia with incidence of 0.2-0.35%. Para-hiatal hernias arises lateral to the left crural musculature adjacent to but separate from the oesophageal diaphragmatic hiatus. In view of its rare occurance and little clinical suspicion, it is almost never diagnosed clinically. The current case report is intended to depict the clinical profile of an intraoperatively diagnosed para-hiatal hernia and feasibility of laparoscopic repair of para-hiatal hernias.
METHOD: Laparoscopic fundoplication is frequently performed at Grant Medical College and Sir J.J. Group of Hospitals, India. During one such case intraoperatively Para-hiatal hernia was diagnosed.
DISCUSSION: Primary or true parahiatal hernias occur as a result of a congenital weakness and secondary defects follow hiatal surgery. The primary treatment of para-hiatal hernia is mesh-plasty. This is coupled with fundoplication in cases of large hernia and those symptomatic for gastroesophageal reflux disease. Laparoscopic repair of these uncommon hernias is safe, effective and provides all of the benefits of minimally invasive surgery.
CONCLUSION: Due to its rare occurrence, knowledge about this condition among laparoscopic surgeons is important to avoid diagnostic dilemma. Knowledge about its management aids intraoperatvely to avoid performing incomplete procedure.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87288
Program Number: P420
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster