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Erschienen in:

2018 | OriginalPaper | Buchkapitel

38. Technik der Hiatushernienreparation

verfasst von : Professor, Dr. med. Beat P. Müller-Stich, Dr. med. Philip C. Müller, Univ. Professor, Dr. Rudolph Pointner, MD Stavros A. Antoniou, Professor, Dr. med. Burkhard H.A. von Rahden, MD Sumeet K. Mittal

Erschienen in: Laparo-endoskopische Hernienchirurgie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Hiatushernien werden in die Typ I–IV eingeteilt. Die Typen II–IV sind durch einen paraösophagealen Anteil charakterisiert und deutlich weniger verbreitet als die axiale Gleithernie (Typ I). Hiatushernien mit paraösophagealer Beteiligung sollten operiert werden, wenn sie symptomatisch sind, da das Risiko von Komplikationen besteht. Ziel der chirurgischen Therapie ist die dauerhafte Reposition von Bruchsack und Bruchinhalt sowie die Reparation des Hiatus. Für die meisten Hiatushernien ist der minimalinvasive, transabdominelle Zugang die bevorzugte Methode. Neben der Wahl des Zugangs müssen für eine optimale Hiatusreparation die Präparationsweise des Bruchsacks, die Art der Hiatoplastik, der Nutzen und das Risiko einer Netzverstärkung sowie die Notwendigkeit einer zusätzlichen Fundoplikatio als wichtige chirurgische Schritte betrachtet werden. Dieses Kapitel gibt zu diesen Punkten einen evidenzbasierten Überblick sowie Empfehlungen entsprechend der Literatur.

Vorheriges Kapitel Allgemeine Überlegungen zur Therapie der Hiatushernie

Nächstes Kapitel Netztechnologie in der Versorgung von Hiatushernien

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Titel: Technik der Hiatushernienreparation
verfasst von: Professor, Dr. med. Beat P. Müller-Stich
Dr. med. Philip C. Müller
Univ. Professor, Dr. Rudolph Pointner
MD Stavros A. Antoniou
Professor, Dr. med. Burkhard H.A. von Rahden
MD Sumeet K. Mittal
Verlag: Springer Berlin Heidelberg
Buch: Laparo-endoskopische Hernienchirurgie
Print ISBN: 978-3-662-56089-1

Electronic ISBN: 978-3-662-56090-7

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-56090-7_38

Springerpflege

Zusammenfassung

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