Link: https://www.ncbi.nlm.nih.gov/pubmed/30322286

Ann R Coll Surg Engl. 2018 Oct 16:1-6. doi: 10.1308/rcsann.2018.0183. [Epub ahead of print]
Beyond Belsey: complex laparoscopic hiatus and diaphragmatic hernia repair.
Zanotti D1, Fiorani C1, Botha A1.
Author information
Abstract
BACKGROUND:
Diaphragmatic and hiatus hernias can cause mild chronic symptoms or have an acute presentation with gastric volvulus and obstruction. Elective or emergency surgery is indicated in symptomatic patients and nowadays is generally performed laparoscopically.

METHODS:
We report four different types of hernias: a giant hiatus hernia following a gastric pull-up for recurrent congenital diaphragmatic hernia; a Bochdalek hernia in a pregnant young woman; concomitant hiatus and Morgagni hernias; and a giant hiatus hernia occupying the right chest. All were approached laparoscopically, either electively or as an emergency.

RESULTS:
Surgery led to a resolution of symptoms in all the cases. We had no any intraoperative complications. Two patients developed minor postoperative complications (chest infection). No recurrences were found during a mean follow-up of 18 months.

CONCLUSIONS:
Transabdominal laparoscopic approach is a safe and feasible approach to all cases of symptomatic hiatus and diaphragmatic hernia.

KEYWORDS:
Bochdalek hernia; Morgagni hernia; congenital hernia; diaphragmatic hernia; hiatus hernia

PMID: 30322286 DOI: 10.1308/rcsann.2018.0183