Steiger Z, Wilson R F, Nelson R M, Huang C L, Jacobs L A
Am Surg. 1984 Apr;50(4):217-21.
Seven patients with hernias occurring after Belsey hiatal hernia repair are described. These hernias were of two types. Four occurred through the hiatus, had the appearance of a parahiatal hernia, and were attributed to the failure to correct a shortened esophagus. In three patients the hernia occurred through a disrupted counterincision in the diaphragm. In the second group postoperative abdominal distension and possibly technical faults were incriminated. In the first group satisfactory repair was achieved by a Collis-Belsey gastroplasty and an antireflux procedure. In the second group reduction of the hernia and resuture of the diaphragm incision encompassing all layers corrected these life threatening hernias.
本文描述了7例在贝尔西裂孔疝修补术后出现疝的患者。这些疝有两种类型。4例通过裂孔出现，表现为食管旁疝，归因于未纠正缩短的食管。3例患者的疝通过膈肌反切口破裂处出现。第二组病例中，术后腹胀以及可能存在的技术失误被认为是病因。第一组通过科利斯-贝尔西胃成形术和抗反流手术获得了满意的修复效果。第二组通过将疝复位并缝合包括所有层的膈肌切口，纠正了这些危及生命的疝。
