Document Detail


Use of the falciform ligament flap for closure of the esophageal hiatus in giant paraesophageal hernia.
MedLine Citation:
PMID:  22547347     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Laparoscopic repair of a giant paraesophageal hiatal hernia remains a challenging procedure. Several techniques have been developed in efforts to achieve tension-free reconstruction of the esophageal hiatus. In this report, we describe a technique whereby the falciform ligament is used as an autologous onlay flap to achieve tension-free closure of the crural defect of a giant paraesophageal hernia (GPEH).
DISCUSSION: Use of the falciform ligament as a vascularized autologous onlay flap is a safe and effective procedure to obtain closure of the crural defect of a GPEH. The falciform ligament should be adequately mobilized from the anterior abdominal wall to prevent lateral tension on the flap, but care must be taken to avoid devascularization. Interrupted vertical mattress sutures are used to fix the falciform ligament to the left and right hiatal crurae.
Authors:
Adrian E Park; C Marius Hoogerboord; Erica Sutton
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Publication Detail:
Type:  Journal Article     Date:  2012-05-01
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  16     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-06-13     Completed Date:  2012-10-18     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1417-21     Citation Subset:  IM    
Affiliation:
Anne Arundel Medical Center, 2001 Medical Parkway, Annapolis, MD 21401, USA. apark@aahs.org
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MeSH Terms
Descriptor/Qualifier:
Fundoplication
Hernia, Hiatal / surgery*
Herniorrhaphy / methods*
Humans
Laparoscopy*
Ligaments / transplantation*
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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