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[Diagnosis and surgical therapy of hiatal hernia].

Koch, O O, Köhler, G, Antoniou, S A and Pointner, R (2014) [Diagnosis and surgical therapy of hiatal hernia]. [Fachpublikation (peer reviewed)]

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Abstract

Using the usual diagnostic tools like barium swallow examination, endoscopy, and manometry, we are able to diagnose a hiatal hernia, but it is not possible to predict the size of the hernia opening or, respectively, the size of the hiatal defect. At least a correlation can be expected if the gastroesophageal junction is endoscopically assessed in a retroflexed position, and graded according to Hill. So far, it is not possible to come to a clear conclusion how the hiatal closure during hiatal hernia repair should be performed. There is no consensus on using a mesh, and when using a mesh which type or shape should be used. Further studies including long-term results on this issue are necessary. However, it seems obvious to make the decision depending on certain conditions found during operation, and not on preoperative findings.
Item Type: Fachpublikation (peer reviewed)
Divisions: Ordensklinikum Linz Barmherzige Schwestern > Allgemeinchirurgie mit Viszeralchirurgie
Depositing User: Manuela Schühler
Date Deposited: 08 Mar 2021 09:01
Last Modified: 08 Mar 2021 09:01
URI: http://eprints.vinzenzgruppe.at/id/eprint/8060

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