Hussam Alamri, MD, Lorenzo Ferri, MD, PhD, Carmen Mueller, MD, MEd. Mcgill University
Introduction: Herniation of abdominal contents through the hiatus in post esophagectomy patients is a rare but serious complication. Laparoscopic approach to this repair provides several advantages, here we present two cases of laparoscopic post esophagectomy hiatal hernia repair.
Case reports: Our first patient is a 62 years old male with a hiatal hernia following a laparoscopic and thoracoscopic three-hole esophagectomy, this was discovered following two failed colonoscopies and a virtual colonoscopy revealing a large hiatal hernia containing transverse colon. Our second patient is a 71 years old male who underwent previous open transhiatal esophagectomy with gastric pull-up, he presented with postprandial chest pain and was found to have a large hiatal hernia containing small bowel, colon, and pancreas. In addition, our second patient had previously undergone multiple ventral incisional hernia repairs with mesh. Both patients underwent successful laparoscopic hiatal hernia repair with primary closure of the hernia defect with no minor or major complications. Both procedures were performed as a day surgery and both patients were discharged home from post-anaesthesia care unit.
Conclusion: Laparoscopic repair of post esophagectomy hiatal hernia repair is feasible, and provides superior visualization and shorter hospital stay.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88489
Program Number: V245
Presentation Session: Thursday Video Loop (Non CME)
Presentation Type: VideoLoop