Complex and Recurrent Hiatal Hernia Repair Using a Pedicled Rectus Abdominis Flap: Surgical Technique and Case Series
Jenna Hannouille, Fadi Charara, Vincenzo Simonelli · 2026
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Description
Hannouille and colleagues in Brussels report a salvage operation for hiatal hernias that keep coming back. Four patients had already failed multiple conventional repairs between 2019 and 2022. The team swung a stalked rectus abdominis muscle flap up through the hiatus. Imaging and reflux questionnaires tracked results beyond two years.
Every reconstruction succeeded technically, with no major complications and discharge in about a week. At nearly four years of average follow-up, scans showed zero recurrences. Reflux quality-of-life scores rose by twenty-three points and kept rising. Two patients developed painless abdominal bulging, and one needed a hernia revision.
Catalog record
| CREATOR | Jenna Hannouille, Fadi Charara, Vincenzo Simonelli |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 27 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |