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The Failed Laparoscopic Hiatal Hernia Repair: “Making it Better” at Redo Operation

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Recurrent Hernia
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Abstract

Despite over 85 years of experience in its surgical management [1], hiatal hernia remains a tremendous challenge to the gastro-intestinal surgeon. The difficulty in effectively managing this disorder is evident in the large amount of literature devoted to the topic and the myriad of surgical options that are described, including open transabdominal and transthoracic and, more recently, laparoscopic and thoracoscopic approaches. The enthusiasm for laparoscopy and its many potential benefits has made it the standard of care for antireflux surgery [2]–[4], and there is compelling evidence to suggest that redo surgery is also feasible [5]–[7]. This enthusiasm has naturally carried over to the surgical management of hiatal hernia, which frequently co-exists with reflux. Laparoscopic hiatal hernia surgery, however, is not yet well established, and concern has been voiced that it may not be a suitable approach for those patients with large hiatal hernia, and for those with recurrent hernia after a primary laparoscopic repair [8].

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Dutta, S. (2007). The Failed Laparoscopic Hiatal Hernia Repair: “Making it Better” at Redo Operation. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Recurrent Hernia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68988-1_11

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  • DOI: https://doi.org/10.1007/978-3-540-68988-1_11

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