Paraesophageal Hernia Repair: Techniques for Success

Tyler D. Cohn, Nathaniel J. Soper

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

With the introduction of laparoscopy, the outcomes of patients undergoing paraesophageal hernia repair have improved dramatically. When the fundamentals of a proper repair are followed, patients can expect to have improvement in gastroesophageal reflux symptoms, including heartburn, regurgitation, chest pain, dysphagia, and dyspnea. Adhering to these principles will alleviate patients' symptoms and avoid reoperation. This article describes the approach to paraesophageal hernia repair, including patient evaluation, operative technique, and postoperative management. Esophageal lengthening and crural reinforcement with mesh are addressed as well. Adhering to the basic techniques outlined in this article should lead to successful and durable patient outcomes following a paraesophageal hernia repair.

Original languageEnglish (US)
Pages (from-to)19-23
Number of pages5
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume27
Issue number1
DOIs
StatePublished - Jan 2017
Externally publishedYes

Keywords

  • Antireflux surgery
  • Fundoplication
  • Gastroplasty
  • Hiatal hernia
  • Mesh
  • Paraesophageal hernia

ASJC Scopus subject areas

  • Surgery

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