GASTRO-INTESTINAL

 

Laparoscopic treatment of type III para-oesophageal hernia

 

 

M. L. van Niekerk

M.B. Ch.B., M.Med. (surg.), F.C.S. (s.A.). Division of Paediatric Surgery, Department of Surgery, University of Pretoria

 

 

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ABSTRACT

Type III congenital para-oesophageal hernia is a rare condition in children and is characterised by the herniation of both a substantial portion of the stomach and the gastro-oesophageal junction into the chest. This report describes the laparoscopic repair of 4 para-oesophageal hernias in children between 2002 and 2010. All hernias were treated successfully using the laparoscopic method. There were no recurrences. The laparoscopic repair of a para-oesophageal hernia is technically challenging, but is feasible and safe in the hands of paediatric surgeons familiar with laparoscopic anti-reflux surgery.

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