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Original Articles: General Thoracic

Invited commentary

Department of Cardiothoracic Surgery, The University of Southern California, 1510 San Pablo St, No. 514, Los Angeles CA 90033

(Email: sdemeester@surgery.usc.edu).

The first 20% of the full text of this article appears below.

Vallböhmer and colleagues [1] report 9 patients in whom intraabdominal organs herniated into the mediastinum or thoracic cavity after esophagectomy with gastric pull-up. No fixation of the stomach to the crura was performed, and in selected patients, the hiatus was narrowed with sutures when it was thought to be too wide. Symptoms were present in 6 of the 9 patients, and the hernia was found at a median time of 8 months after esophagectomy. Reoperation was performed in 7 patients (5 emergency and 2 elective) and consisted of reduction of the herniated bowel/organ into the abdomen and posterior repair of the hiatal defect (6 primary repairs and 1 with absorbable mesh). A concomitant bowel resection was necessary . . . [Full Text of this Article]

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Diaphragmatic Hernia After Conventional or Laparoscopic-Assisted Transthoracic Esophagectomy

Daniel Vallböhmer, Arnulf H. Hölscher, Till Herbold, Christian Gutschow, and Wolfgang Schröder
Ann. Thorac. Surg. 2007 84: 1847-1852. [Abstract] [Full Text] [PDF]