Surgical Repair of Giant Type IV Hiatal Hernia

Document Type : Image in Cardio-Thoracic Medicine


1 Thoracic Surgeon, 5-Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran

2 General Surgeon,5Azar Hospital,Golestan University of Medical Science,Gorgan,Iran.

3 Resident of General Surgery, 5Azar Hospital,Golestan University of Medical Science,Gorgan,Iran.


In this case report, we described a 74-year-old female patient with major complaint of respiratory problemsdyspnea after meal. Chest X-ray of the patient revealed a  gianttype IV hiatal hernia. Preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and CT-scan. Repair of the hernia was performed using a dual mesh on the diaphragm and partial anterior fundoplication (Dor fundoplication). After a six-month follow-up, the overall condition of the patient  is satisfactory,  exceptmild intermittent dysphagia due to esophageal dysmotility.