Case Report

Successful hiatal hernia repair with Nissen fundoplication by laparoscopic approach: a case report

Francis Celeste , I Made Yudi Mahardika, Wifanto Saditya Jeo

Francis Celeste
General Practitioner Siloam Hospitals Kebon Jeruk, Jakarta, Indonesia. Email: francisceleste3@outlook.com

I Made Yudi Mahardika
General Practitioner Siloam Hospitals Kebon Jeruk, Jakarta, Indonesia

Wifanto Saditya Jeo
Department of Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia ; Department of Surgery, Mochtar Riady Comprehensive Cancer Centre (MRCCC), Jakarta, Indonesia
Online First: December 01, 2020 | Cite this Article
Celeste, F., Mahardika, I., Jeo, W. 2020. Successful hiatal hernia repair with Nissen fundoplication by laparoscopic approach: a case report. Intisari Sains Medis 11(3): 1298-1301. DOI:10.15562/ism.v11i3.729


Background: Hiatus hernias represent a herniation of viscera, most commonly the stomach, into the mediastinum through the esophageal hiatus of the diaphragm.There are two main classifications, sliding hernias and paraesophageal hernias. This case study aims to evaluate the successful hiatal hernia repair with Nissen fundoplication by a laparoscopic approach.

Case Presentation: We present a case of a 60-year-old male who presented with recurrent abdominal discomfort 6 months prior to the consultation. This was accompanied by loose stools, bloating, nausea, and vomiting. An initial diagnosis of Gastroesophageal Reflux Disease (GERD) was made. Conservative treatment was initiated with limited success. Endoscopy was then performed, revealing a hiatal hernia. Surgical intervention was then chosen as a therapeutic option via a laparoscopic approach and additional Nissen fundoplication with favorable outcomes.

Conclusion: Symptomatic paraesophageal hernias are indicated for surgical repair.Paraesophageal hernias can be repaired transthoracically and transabdominal. Repairs via the transabdominal route can be performed with an open approach or laparoscopically, with the laparoscopic approach suggesting lower mortality and morbidity. Nissen fundoplication has been proven as an effective measure in GERD's control and in maintaining an intra-abdominal location of the gastroesophageal junction (GEJ).

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