surgical repair of giant type iv hiatal hernia

In this case report, we described a 74-year-old female patient with major complaint of respiratory problems and dyspnea 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 issatisfactory, exceptmild intermittent dysphagia due to esophageal dysmotility.