LAPAROSCOPIC MANAGEMENT OF TYPE III PARAOESOPHAGEAL HERNIA WITH ORGANOAXIAL GASTRIC VOLVULUS : A CASE REPORT

Dr Akash Gupta; Dr Sandeep Dave; Dr Siddharth Tamaskar; Dr Ajit Mishra; Dr Vikram Sharma

Volume : IX, Issue : III, March - 2020

LAPAROSCOPIC MANAGEMENT OF TYPE III PARAOESOPHAGEAL HERNIA WITH ORGANOAXIAL GASTRIC VOLVULUS : A CASE REPORT

Dr Akash Gupta, Dr Sandeep Dave, Dr Siddharth Tamaskar, Dr Ajit Mishra, Dr Vikram Sharma

Abstract :

Paraesophageal hernias are the results of defects in the diaphragmatic hiatus. Types II to IV hiatal hernias are also known as paraesophageal hernia. These hernias can be associated with life threatening complications such as gastric volvulus leading to necrosis or perforation of the stomach. Due to these potential complications it was thought that all paraesophageal hernia should be repaired upon diagnosis. Recent evidence, however demonstrated that a non surgical approach is a safe option in many cases. Surgical intervention is usually reserved for patients who are exhibiting symptoms secondary to paraesophageal hernia.We report an interesting case of a 72yrs old female who presented at with Type III paraesophageal hernia with organo axial gastric volulus for which successful Laparoscopic reduction of volvulus with Diaphragmatic hernia repair with Nissen�s fundoplication was done.