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Classification of Hiatal Hernias Using Dynamic Three-Dimensional Reconstruction

University of Maryland Baltimore, Baltimore, MD

Ross D. Segan, MD

Tripler Army Medical Center, Honolulu, HI

Ivan M. George, MD

Patricia L. Turner, MD

J. Scott Roth, MD

University of Maryland Baltimore, Baltimore, MD

Adrian Park, MD

Division of General Surgery, University of Maryland Baltimore, Rm S4B14, 22 South Greene Street, Baltimore, MD 21201 apark{at}smail.umaryland.edu

Hiatal hernias and paraesophageal hernias are common clinical entities and have a well-known classification system. Multiple modalities have been used to illustrate these hernias, most relying on artists’ renderings or two-dimensional radiographic studies. However, surgeons would benefit from a comprehensive graphic representation of hiatal hernias based on current imaging technologies. We have applied polygonal mesh surface modeling techniques to render dynamic three-dimensional computed tomography-based models of the four recognized types of hiatal hernias. The resulting images allow nearly real-time navigation in an intuitive and clinically relevant fashion. This model should clarify and eventually advance the existing classification by applying modern and sophisticated image processing to established concepts.

Key Words: Hiatal hernia • paraesophageal hernia • classification • computed tomography (CT)

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Surgical Innovation, Vol. 13, No. 1, 49-52 (2006)
DOI: 10.1177/155335060601300108


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Kavic, S. M. Articles by Park, A. Search for Related Content PubMed PubMed Citation Articles by Kavic, S. M. Articles by Park, A. Pubmed/NCBI databases Medline Plus Health Information Hiatal Hernia Social Bookmarking                         What's this?