Authors: Edward D Auyang Carlos A Pellegrini
Publish Date: 2012/04/12
Volume: 16, Issue: 7, Pages: 1406-1411
Abstract
Paraesophageal hernias are usually complex anatomic abnormalities of the upper gastrointestinal tract capable of causing symptoms and complications including death Furthermore they affect patients who are usually older and have other comorbidities Preferred treatment approach has evolved over time with laparoscopic repair being the current preferred technique as it causes less hemodynamic changes and is better tolerated than open repairsIn this report we describe our technique for laparoscopic paraesophageal hernia repair The most salient technical aspects of this procedure include reduction of the stomach below the diaphragm circumferential dissection and excision of the hernia sac closure of the crural defect with our without the addition of mesh and fundoplication to prevent reflux
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