This book aims to address the recent advances and controversies on the subject of hiatus hernia and antireflux surgery. The field of antireflux surgery is undergoing a lot of changes, and traditional concepts are being challenged. The readers are provided with an evidence based approach to assist surgeons' decisions in developing a preoperative investigative algorithm prior to offering a surgical solution for either primary or recurrent hiatal hernia surgery based on supporting evidence.The chapters will further investigate the latest trends in minimally invasive hiatal hernia and antireflux surgery, both for primary and recurrent hernias.
Utility of endoscopy in the diagnosis of GERD and hiatus hernia.- Utility of radiology in the diagnosis of GERD and hiatus hernia.- Utility of ambulatory oesophageal pH and high resolution impedance manometry in the diagnosis of GERD and hiatus hernia.- Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based approach.- Indications and procedures for surgical therapy of gastroesophageal reflux management.- Anterior vs posterior fundoplication for GERD .- Novel Endoscopic antireflux procedures - what do they offer?- Laparoscopic repair of paraesophageal hiatus hernia - suture cruroplast or prosthetic repair. Adverse outcome and failure following laparoscopic antireflux surgery - is one type of fundoplication better than other?- Use to postoperative HRIM and FLIP for dysphagia assessment following antireflux procedure.- Preoperative assessment of failed fundoplication.- Recurrent gastroesophageal reflux after a fundoplication - failure or wrong procedure.- Laparoscopic methods in recurrent paraesophageal hernias.- Revision strategies for recurrent paraesophageal hiatus hernia - laparoscopic or thoracoscopic.- Long term results after laparoscopic reoperation for failed antireflux procedure.- Utility of the Robot in revisional paraosophageal hiatus hernia.- Long term efficacy of laparoscopic Antireflux surgery (Nissen Fundoplication) on regression of Barrett's esophagus - role of impedence pH, FLIP and gastroscopy.- Linx for small hiatus hernia and GERD