Method for maintaining the reduction of a sliding esophageal hiatal hernia

• US 3,875,928 A
• Filed: 08/16/1973
• Issued: 04/08/1975
• Est. Priority Date: 08/16/1973
• Status: Expired due to Term

• Current Assignee: Bonny Kenneth, Mentor Corporation (Johnson & Johnson), Stephen B. Paige
• Original Assignee: Jean Pierre Angelchik
• Inventors: Angelchik, Jean Pierre
• Primary Examiner(s): Frinks, Ronald L.
• Application Number:
  US05/388,731
• Time in Patent Office: 600 Days
• Field of Search: 3/1 128/1R,334R,325,95,346,96,DIG.23,DIG.25
• US Class Current: 600/37
• CPC Class Codes: A61B 17/12009 Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/044 Oesophagi or esophagi or gullets
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

A method and prosthesis for use in maintaining the intraabdominal reduction of a sliding esophageal hiatal hernia. The prosthesis is a generally C-shaped cushion member which is shaped and dimensioned to be implaced around the distal esophagus. The overall size of the prosthesis is large enough to prevent extension of the gastric fundus into the thoracic cavity through an enlarged esophageal hiatus. Tie means are provided to maintain the cushion member in operative position. The prosthesis bears radio-opaque indicia to facilitate radiographic determination of its position after implacement.

Claims

1. A method for maintaining the intra-abdominal reduction of a sliding esophageal hiatal hernia whereby extension of the gastric fundus into the thoracic cavity through an enlarged esophageal hiatus is prevented, said method comprising:

a. positioning a generally C-shaped cushion prosthesis around the distal esophagus, the inside diameter of said prosthesis generally corresponding to the normal outside diameter of the distal esophagus and the outside diameter thereof being larger than said enlarged esophageal hiatus, said C-shaped member being deformable to permit adjustment of the spacing of the free ends thereof at a selected distance;

b. adjusting said free ends of said prosthesis at a spacing to permit normal expansion of the esophagus during swallowing; and

c. fixing said free ends of said prosthesis in said adjusted position to maintain said C-shaped cushion prosthesis in operative position around the distal esophagus between the gastric fundus and the diaphragm and to maintain said adjusted spacing of said free ends.