Erschienen in:
13.10.2017 | Video Submission
Totally Robotic Combined Roux-en-Y Gastric Bypass and Hiatal Hernia Repair with Biological Mesh: Technical Points
verfasst von:
Fabian Reche, Adrian Mancini, Anne-Laure Borel, Jean-Luc Faucheron, Catherine Arvieux
Erschienen in:
Obesity Surgery
|
Ausgabe 12/2017
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Excerpt
Hiatal hernia (HH) is frequently associated with obesity. Reported rates of HH in the morbidly obese population range from 20 to 53% [
1]. Probable causes are increased intra-abdominal pressure as result of central obesity, visceral fat, and organomegaly associated with decrease elasticity of the support core muscles and ligaments that contribute to the enlargement of the hiatal defect over time [
2,
3]. Simultaneous paraesophageal hernia repair (PEHR) and laparoscopic Roux-en-Y gastric bypass (LRYGBP) would provide the most effective treatment for both the HH and morbid obesity. From a technical point of view, few procedures of LRYGBP combined with PEHR, with or without prosthetic reinforcement, have been reported in the literature, but to our knowledge, robotic procedure with the use of a biologic mesh has never been published. …
