Abstract
One of the most common causes of a failed Nissen fundoplication is disruption of the crural repair. We investigated the thickness of the subdiaphragmatic fascia overlying the right and left limb of the right crus in cadavers to determine any difference. Sub-diaphragmatic fascia specimens were obtained from three sites adjacent to the hiatus in 20 preserved cadavers. One square centimeter of fascia was excised 3 cm from the arch of the hiatus on each side and approximately 2-3 mm from the edge of the hiatal opening (labeled RL and LPL). A third sample was taken 1 cm from the arch of the hiatus on the left side (labeled LAL). The thickness of these tissues was measured. The mean tissue thickness of RL, LPL and LAL were 0.22 mm, 0.23 mm and 0.4 mm, respectively. There was no difference in tissue thickness between the lower specimens on both sides (RL vs. LPL); however, LAL was significantly thicker than both RL and LPL (P <0.05). The thickness of the subdiaphragmatic fascia overlying the right and left limb of the right crus does not differ significantly in the region used for crus closure during antireflux surgery; however, the fascia on the left is thicker anteriorly.
| Original language | English |
|---|---|
| Pages (from-to) | 111-113 |
| Number of pages | 3 |
| Journal | Diseases of the Esophagus |
| Volume | 19 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2006 |
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All Science Journal Classification (ASJC) codes
- Gastroenterology
Cite this
Sub-diaphragmatic fascia : Role in the recurrence of hiatal hernias. / Tierney, B. J.; Iqbal, A.; Awad, Z.; Penka, W.; Filipi, Charles; Mittal, S. K.
In: Diseases of the Esophagus, Vol. 19, No. 2, 04.2006, p. 111-113.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Sub-diaphragmatic fascia
T2 - Role in the recurrence of hiatal hernias
AU - Tierney, B. J.
AU - Iqbal, A.
AU - Awad, Z.
AU - Penka, W.
AU - Filipi, Charles
AU - Mittal, S. K.
PY - 2006/4
Y1 - 2006/4
N2 - One of the most common causes of a failed Nissen fundoplication is disruption of the crural repair. We investigated the thickness of the subdiaphragmatic fascia overlying the right and left limb of the right crus in cadavers to determine any difference. Sub-diaphragmatic fascia specimens were obtained from three sites adjacent to the hiatus in 20 preserved cadavers. One square centimeter of fascia was excised 3 cm from the arch of the hiatus on each side and approximately 2-3 mm from the edge of the hiatal opening (labeled RL and LPL). A third sample was taken 1 cm from the arch of the hiatus on the left side (labeled LAL). The thickness of these tissues was measured. The mean tissue thickness of RL, LPL and LAL were 0.22 mm, 0.23 mm and 0.4 mm, respectively. There was no difference in tissue thickness between the lower specimens on both sides (RL vs. LPL); however, LAL was significantly thicker than both RL and LPL (P <0.05). The thickness of the subdiaphragmatic fascia overlying the right and left limb of the right crus does not differ significantly in the region used for crus closure during antireflux surgery; however, the fascia on the left is thicker anteriorly.
AB - One of the most common causes of a failed Nissen fundoplication is disruption of the crural repair. We investigated the thickness of the subdiaphragmatic fascia overlying the right and left limb of the right crus in cadavers to determine any difference. Sub-diaphragmatic fascia specimens were obtained from three sites adjacent to the hiatus in 20 preserved cadavers. One square centimeter of fascia was excised 3 cm from the arch of the hiatus on each side and approximately 2-3 mm from the edge of the hiatal opening (labeled RL and LPL). A third sample was taken 1 cm from the arch of the hiatus on the left side (labeled LAL). The thickness of these tissues was measured. The mean tissue thickness of RL, LPL and LAL were 0.22 mm, 0.23 mm and 0.4 mm, respectively. There was no difference in tissue thickness between the lower specimens on both sides (RL vs. LPL); however, LAL was significantly thicker than both RL and LPL (P <0.05). The thickness of the subdiaphragmatic fascia overlying the right and left limb of the right crus does not differ significantly in the region used for crus closure during antireflux surgery; however, the fascia on the left is thicker anteriorly.
UR - http://www.scopus.com/inward/record.url?scp=33645165391&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33645165391&partnerID=8YFLogxK
U2 - 10.1111/j.1442-2050.2006.00554.x
DO - 10.1111/j.1442-2050.2006.00554.x
M3 - Article
C2 - 16643180
AN - SCOPUS:33645165391
VL - 19
SP - 111
EP - 113
JO - Diseases of the Esophagus
JF - Diseases of the Esophagus
SN - 1120-8694
IS - 2
ER -