Modern treatment of paraesophageal hernia: Preoperative evaluation and technique for laparoscopic repair

Fahd O. Arafat, Ezra Nathaniel Teitelbaum, Eric Hungness*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)297-303
Number of pages7
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number4
DOIs
StatePublished - Aug 1 2012

Keywords

  • antireflux surgery
  • hernia recurrence
  • hiatal hernia
  • laparoscopy
  • paraesophageal hernia

ASJC Scopus subject areas

  • Surgery

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