Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review.
Graziano CeccarelliAlessandro PasculliWalter BugiantellaMichele De RosaFausto CatenaFabio RondelliGianluca CostaAldo RoccaMattia LongaroniMario TestiniPublished in: World journal of emergency surgery : WJES (2020)
Reviewing current literature, no general recommendations are available about the emergent treatment of strangulated hiatal hernia. Acute mechanical outlet obstruction, ischemia of gastric wall or perforation and severe bleeding are the reasons for an emergent surgical indication. In stable conditions, a minimally invasive approach is often feasible. Moreover, the robot-assisted approach, allowing a stable 3D view and using articulated instruments, represents a reasonable option in challenging situations.