Laparoscopic paraesophageal hernia repair: Current controversies

Nathaniel J. Soper*, Ezra N. Teitelbaum

*Corresponding author for this work

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

The advent of laparoscopy has significantly improved postoperative outcomes in patients undergoing surgical repair of a paraesophageal hernia. Although this minimally invasive approach considerably reduces postoperative pain and recovery times, and may improve physiologic outcomes, laparoscopic paraesophageal hernia repair remains a complex operation requiring advanced laparoscopic skills and experience with the anatomy of the gastroesophageal junction and diaphragmatic hiatus. In this article, we describe our approach to patient selection, preoperative evaluation, operative technique, and postoperative management. Specific attention is paid to performing an adequate hiatal dissection and esophageal mobilization, the decision of whether to use a mesh to reinforce the crural repair, and construction of an adequate antireflux barrier (ie, fundoplication).

Original languageEnglish (US)
Pages (from-to)442-445
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume23
Issue number5
DOIs
StatePublished - Oct 1 2013

Keywords

  • antireflux surgery
  • fundoplication
  • hiatal hernia
  • laparoscopy
  • paraesophageal hernia

ASJC Scopus subject areas

  • Surgery

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