ROBOTIC REPAIR OF GIANT HIATAL HERNIA WITH NISSEN FUNDOPLICATION
Sharona B. Ross, Andres E. Giovannetti*, Iswanto Sucandy, Alexander Rosemurgy
Surgery, Florida Hospital Tampa, Chicago, IL
A 63-year-old lady with GERD underwent robotic repair of giant hiatal hernia. Umbilical access was utilized. Remaining robotic trocars were placed along the right and left midclavicular line. Operation began with identification of the hernia defect. The stomach was pulled down from the chest and the hernia sac was dissected and removed using electrocautery and the robotic vessel sealer. Stomach and 8cm of esophagus were brought to the abdominal cavity. Cruroplasty was undertaken using non-absorbable barbed sutures. A 360-degrees wrap was constructed over a 54Fr bougie. Intraoperative endoscopy was undertaken. Operation was well tolerated. Uneventful postoperative course. Discharged on POD1.
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