Laparoscopic Esophagomyotomy Laparoscopic esophagomyotomy uses the magnification and precise dissection of minimally invasive surgery to divide the hypertrophied distal esophagus associated with esophageal achalasia. This operation has largely supplanted the…
Laparoscopic Paraesophageal Hernia Repair Hui Sen Chong Samy Mokhtar Maklad Paraesophageal hiatus hernias allow the stomach or other viscera to ascend through the hiatus into the mediastinum (see Chapter 52,…
Laparoscopic Nissen Fundoplication and Hiatal Hernia Repair Isaac Samuel Patients with gastroesophageal reflux disease (GERD) who have failed medical therapy have developed complications of GERD (Barrett’s esophagus, peptic stricture) or…
Open Paraesophageal Hernia Repair Kevin A. Bridge Hui Sen Chong The vast majority of patients with paraesophageal hernias are asymptomatic. However, for those who are symptomatic despite medical treatment, surgical…
Hiatal Hernia Repair The purpose of hiatal hernia repair is to generate a functional lower esophageal sphincter mechanism that will effectively prevent reflux of gastric contents into the esophagus but…
Upper Gastrointestinal Endoscopy Upper gastrointestinal endoscopy, also known as esophagogastroduodenoscopy, is performed for diagnostic and therapeutic purposes. In this chapter, the endoscopic anatomy and the technical maneuvers necessary for safe…
Laparoscopic Repair of Ventral Hernias The theory behind laparoscopic ventral hernia repair is that because the problem is a defect in the fascia, an approach from inside the abdomen makes…
Introduction It is evident that if the abdomen is divided into quadrants, the left upper quadrant includes more than the upper gastrointestinal tract and spleen (such as the pancreas) and…
Pediatric Umbilical Hernia Repair Raphael C. Sun Graeme J. Pitcher Umbilical hernias are the most common hernias seen in children. They occur as a result of a large or weak…
Open Repair of Ventral Hernias Evgeny V. Arshava Ventral hernias are classified as either spontaneous (epigastric, umbilical, Spigelian, lumbar) or postoperative. Most ventral hernias are postoperative (incisional) and occur at…
