Laparoscopic large hiatus hernia repair

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The diaphragm is both a muscular and tendinous tissue that begins to bear mechanical pressure from the abdominal vis- cera during the tenth week of life. Abnormal diaphragmatic development can lead to large congenital diaphragmatic hernias present at birth, while other smaller areas of dia- phragmatic weakness can enlarge over time and become apparent later in life. Hiatal hernias result from a widening of the diaphragmatic crura and a weakening of the phre- noesophageal membrane. This results in a protrusion of a hernia sac containing intra-abdominal organs through the diaphragmatic hiatus and into the mediastinum. The preva- lence of large hiatal hernias increases with age, suggesting that environmental and tissue-aging factors are involved in the pathophysiology. In addition, there is a positive asso- ciation between the presence of hiatal and inguinal hernias, suggesting either a genetic predisposition affecting tissue integrity or some other common factor, such as increased intra-abdominal pressure.

Original languageEnglish (US)
Title of host publicationOperative Thoracic Surgery, Sixth Edition
PublisherCRC Press
Pages411-418
Number of pages8
ISBN (Electronic)9781482299588
ISBN (Print)9781482299571
DOIs
StatePublished - Jan 1 2017

Fingerprint

Hiatal Hernia
Herniorrhaphy
Pressure
Inguinal Hernia
Mediastinum
Thromboplastin
Genetic Predisposition to Disease
Hernia
Diaphragm
Parturition
Membranes

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Nagle, A. P., Chow, G. S., & Soper, N. J. (2017). Laparoscopic large hiatus hernia repair. In Operative Thoracic Surgery, Sixth Edition (pp. 411-418). CRC Press. https://doi.org/10.1201/9781315113777
Nagle, Alexander P ; Chow, Geoffrey S. ; Soper, Nathaniel J. / Laparoscopic large hiatus hernia repair. Operative Thoracic Surgery, Sixth Edition. CRC Press, 2017. pp. 411-418
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Nagle, AP, Chow, GS & Soper, NJ 2017, Laparoscopic large hiatus hernia repair. in Operative Thoracic Surgery, Sixth Edition. CRC Press, pp. 411-418. https://doi.org/10.1201/9781315113777

Laparoscopic large hiatus hernia repair. / Nagle, Alexander P; Chow, Geoffrey S.; Soper, Nathaniel J.

Operative Thoracic Surgery, Sixth Edition. CRC Press, 2017. p. 411-418.

Research output: Chapter in Book/Report/Conference proceedingChapter

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Nagle AP, Chow GS, Soper NJ. Laparoscopic large hiatus hernia repair. In Operative Thoracic Surgery, Sixth Edition. CRC Press. 2017. p. 411-418 https://doi.org/10.1201/9781315113777