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Technik der Hiatushernienreparation

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Laparo-endoskopische Hernienchirurgie

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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.

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Authors and Affiliations

  1. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universität Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    Professor, Dr. med. Beat P. Müller-Stich & Dr. med. Philip C. Müller

  2. Tauernklinikum GmbH, Stefan-Zweig-Straße 2, 5700, Zell am See, Österreich

    Univ. Professor, Dr. Rudolph Pointner

  3. Department of General Surgery, University Hospital of Heraklion, 71 500, Heraklion, Irland

    MD Stavros A. Antoniou

  4. Zentrum für operative Medizin (ZOM); Universitätsklinikum Würzburg, Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland

    Professor, Dr. med. Burkhard H.A. von Rahden

  5. Creighton University Medical Center, Alegent Creighton Clinic, Esophagal Surgery, 601 North 30th Street, Suite 3700, Omaha, NE, 68131, USA

    MD Sumeet K. Mittal

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  1. Professor, Dr. med. Beat P. Müller-Stich
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  2. Dr. med. Philip C. Müller
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  3. Univ. Professor, Dr. Rudolph Pointner
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  4. MD Stavros A. Antoniou
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  5. Professor, Dr. med. Burkhard H.A. von Rahden
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  6. MD Sumeet K. Mittal
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Editor information

Editors and Affiliations

  1. Stuttgart, Deutschland

    Reinhard Bittner

  2. Vivantes Klinikum Spandau, Berlin, Deutschland

    Ferdinand Köckerling

  3. Creighton University School of Medicine, Omaha, NE, USA

    Robert J. Fitzgibbons

  4. Our Lady of the Lake Physician Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

  5. Creighton University School of Medicine, Omaha, NE, USA

    Sumeet Mittal

  6. Max Super Specialty Hospital Saket, New Delhi, India

    Pradeep Chowbey

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Müller-Stich, B.P., Müller, P.C., Pointner, R., Antoniou, S.A., von Rahden, B.H., Mittal, S.K. (2018). Technik der Hiatushernienreparation. In: Bittner, R., Köckerling, F., Fitzgibbons, R.J., LeBlanc, K.A., Mittal, S., Chowbey, P. (eds) Laparo-endoskopische Hernienchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56090-7_38

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  • DOI: https://doi.org/10.1007/978-3-662-56090-7_38

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