TY - JOUR
T1 - Modern treatment of paraesophageal hernia
T2 - Preoperative evaluation and technique for laparoscopic repair
AU - Arafat, Fahd O.
AU - Teitelbaum, Ezra Nathaniel
AU - Hungness, Eric
PY - 2012/8/1
Y1 - 2012/8/1
N2 - This article reviews the preoperative evaluation of patients with paraesophageal hernia (PEH) and details the principles and components of a laparoscopic PEH repair. Complete hernia sac dissection and excision, adequate esophageal mobilization, reapproximation of the crura, and creation of an antireflux barrier make up the key steps in any repair and are described. Although the preferred operative approach to PEH has undergone significant modification, especially since the introduction of minimally invasive laparoscopic techniques, many controversies still exist. The decision of whether to use mesh to reinforce the crural closure remains an unresolved issue in the surgical literature, and further evolution in this and other areas of PEH surgery is sure to occur in the near future.
AB - This article reviews the preoperative evaluation of patients with paraesophageal hernia (PEH) and details the principles and components of a laparoscopic PEH repair. Complete hernia sac dissection and excision, adequate esophageal mobilization, reapproximation of the crura, and creation of an antireflux barrier make up the key steps in any repair and are described. Although the preferred operative approach to PEH has undergone significant modification, especially since the introduction of minimally invasive laparoscopic techniques, many controversies still exist. The decision of whether to use mesh to reinforce the crural closure remains an unresolved issue in the surgical literature, and further evolution in this and other areas of PEH surgery is sure to occur in the near future.
KW - antireflux surgery
KW - hernia recurrence
KW - hiatal hernia
KW - laparoscopy
KW - paraesophageal hernia
UR - http://www.scopus.com/inward/record.url?scp=84865478697&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84865478697&partnerID=8YFLogxK
U2 - 10.1097/SLE.0b013e31825831af
DO - 10.1097/SLE.0b013e31825831af
M3 - Review article
C2 - 22874677
AN - SCOPUS:84865478697
VL - 22
SP - 297
EP - 303
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
SN - 1530-4515
IS - 4
ER -