Abboud Nicolas M, Rimbault Margot, Abboud Sofie, El Nakadi Issam, Charara Fadi G
Centre Hospitalier Universitaire de Tivoli, La Louvière, Belgium.
Hôpital Erasme, Brussels, Belgium.
Plast Reconstr Surg Glob Open. 2020 Dec 21;8(12):e3302. doi: 10.1097/GOX.0000000000003302. eCollection 2020 Dec.
Treament of hiatal hernia remains a challenge for surgeons. The techniques for treatment started with cruroplasty, which was later associated with extensive mobilization of the esophagus, with or without fundoplication. Other solutions included the use of synthetic or biological mesh and autologous tissue reinforcement. Despite these therapeutic strategies, the recurrence rate for hiatal hernia is significant, and no existing treatments have had much success in reducing this rate. Total gastrectomy, as in this case, represents an additional challenge because of the absence of gastric tissue, which can buttress the pillars' repair. This case report introduces a novel approach for the treatment of recurrent hiatal hernia, using a pedicled vertical rectus abdominis myocutaneous flap.
食管裂孔疝的治疗对外科医生来说仍然是一项挑战。治疗技术始于膈肌成形术，后来这种技术与食管的广泛游离相关联，无论是否进行胃底折叠术。其他解决方案包括使用合成或生物补片以及自体组织加固。尽管有这些治疗策略，但食管裂孔疝的复发率仍然很高，并且现有的治疗方法在降低该复发率方面成效甚微。像本病例中的全胃切除术，由于缺乏可支撑支柱修复的胃组织，带来了额外的挑战。本病例报告介绍了一种使用带蒂腹直肌肌皮瓣治疗复发性食管裂孔疝的新方法。
