Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Surgical treatment of hiatus hernia in adults—report of three cases—
Akihiro SUZUKIShintaro SAKURAITakashi TAKETAKazuki SUDOHironori SHIOZAKIHisashi ONODERA
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2010 Volume 71 Issue 8 Pages 2005-2010

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Abstract
Bochdalek hernia is a rare form of diaphragmatic hernia that develops in adults. Herein, we report 2 cases of Bochdalek hernia and 1 case of a large sliding esophageal hiatal hernia that needed surgical treatment with prosthesis between February and November 2007. Out of the 3 patients, 2 had dyspnea and 1 had nausea, vomiting, and loss of appetite. We repaired the large defects of diaphragmas with ePTFE meshes (Gore-Tex mesh) to prevent respiratory and gastrointestinal complications. No previous studies have attempted to determine the size range of diaphragma defects that could be repaired using prosthesis such as Gore-Tex mesh. We always repair such defects using prosthesis that are 5 cm longer than the major axis of the defect. This treatment method is more safe than simple hernia defect closure.
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© 2010 Japan Surgical Association
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