Home J&K Dr Mir Sammiullah performs a rare surgery for giant hiatus Hernia

Dr Mir Sammiullah performs a rare surgery for giant hiatus Hernia


Srinagar, June 30, CNS: A young patient Shahid Qayoom of Pulwama was operated by Dr Mir Sammiullah at Star Hospital for GERD due to giant hiatus Hernia (upside down stomach).
Upside-down stomach is a relatively rare type of a large par esophageal hernia characterized by the migration of the stomach into the posterior mediastinum. Upside-down stomach is prone to severe complications and therefore surgery is recommended even in asymptomatic patients.
A 22year-old male presented with frequent abdominal pain with nausea and vomiting that persisted for one year. The patient was treated medically for gastro esophageal reflux disease (GERD) for 4 years.
On upper gastrointestinal CT study a level-IV paraesophageal hernia was detected with upside-down stomach, and he was referred for elective surgery. Laparoscopic surgery included reduction of the stomach into the abdominal cavity followed by dissection of the paraesophageal membrane and hernia sac. The hiatal defect was closed using nonabsorbable sutures. The defect closure was reinforced anteriorly and sutured posteriorly to the diaphragm. Follow-up was uneventful and the patient is free of complaints. The results of this surgical intervention support previous reports that laparoscopic repair in the setting of large paraesophageal hernia should be favorably considered.
This is rare feat in laparoscopic surgery and is performed in few centers of country.(CNS)