Abstract
Laparoscopic repair of a paraesophageal hernia (in which the fundus of the stomach herniates up through the hiatus, but the gastroesophageal junction remains in the usual position) is described in this chapter. The chapter also includes information on preoperative preparation, pitfalls and danger points, operative strategy, and identification of complications. Step-by-step technical instructions, supplemented by operative photographs, are included. The chapter concludes with a list of selected references.
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Alicuben ET, Worrell SG, DeMeester SR. Impact of crural relaxing incisions, Collis gastroplasty, and non-cross-linked human dermal mesh crural reinforcement on early hiatal hernia recurrence rates. J Am Coll Surg. 2014;219:988–92.
Andolfi C, Plana A, Furno S, Fisichella PM. Paraesophageal hernia and reflux prevention: is one fundoplication better than the other? World J Surg. 2017;41(10):2573–82.
Antoniou SA, Pointner R, Granderath FA, Köckerling F. The use of biological meshes in diaphragmatic defects - an evidence-based review of the literature. Front Surg. 2015;2:56.
Cohn TD, Soper NJ. Paraesophageal hernia repair: techniques for success. J Laparoendosc Adv Surg Tech A. 2017;27:19–23.
Cole W, Zagorski S. Intramural gastric abscess following laparoscopic paraesophageal hernia repair. Endoscopy. 2015;47(Suppl 1 UCTN):E227-8.
Crespin OM, Yates RB, Martin AV, Pellegrini CA, Oelschlager BK. The use of crural relaxing incisions with biologic mesh reinforcement during laparoscopic repair of complex hiatal hernias. Surg Endosc. 2016;30:2179–85.
El Khoury R, Ramirez M, Hungness ES, Soper NJ, Patti MG. Symptom relief after laparoscopic paraesophageal hernia repair without mesh. J Gastrointest Surg. 2015;19:1938–42.
Jones R, Simorov A, Lomelin D, Tadaki C, Oleynikov D. Long-term outcomes of radiologic recurrence after paraesophageal hernia repair with mesh. Surg Endosc. 2015;29:425–30.
Lebenthal A, Waterford SD, Fisichella PM. Treatment and controversies in paraesophageal hernia repair. Front Surg. 2015;2:13.
Lidor AO, Steele KE, Stem M, Fleming RM, Schweitzer MA, Marohn MR. Long-term quality of life and risk factors for recurrence after laparoscopic repair of paraesophageal hernia. JAMA Surg. 2015;150:424–31.
Müller-Stich BP, Achtstätter V, Diener MK, Gondan M, Warschkow R, Marra F, Zerz A, Gutt CN, Büchler MW, Linke GR. Repair of paraesophageal hiatal hernias—is a fundoplication needed? A randomized controlled pilot trial. J Am Coll Surg. 2015;221:602–10.
Müller-Stich BP, Kenngott HG, Gondan M, Stock C, Linke GR, Fritz F, Nickel F, Diener MK, Gutt CN, Wente M, Büchler MW, Fischer L. Use of mesh in laparoscopic paraesophageal hernia repair: a meta-analysis and risk-benefit analysis. PLoS One. 2015;10:e0139547.
Mungo B, Molena D, Stem M, Feinberg RL, Lidor AO. Thirty-day outcomes of paraesophageal hernia repair using the NSQIP database: should laparoscopy be the standard of care? J Am Coll Surg. 2014;219:229–36.
Oleynikov D, Jolley JM. Paraesophageal hernia. Surg Clin North Am. 2015;95:555–65.
Reynolds JL, Zehetner J, Bildzukewicz N, Katkhouda N, Lipham JC. A durable laparoscopic technique for the repair of large paraesophageal hernias. Am Surg. 2016;82:911–5.
Schlottmann F, Strassle PD, Farrell TM, Patti MG. Minimally invasive surgery should be the standard of care for paraesophageal hernia repair. J Gastrointest Surg. 2017;21:778–84.
Schlottmann F, Strassle PD, Patti MG. Laparoscopic paraesophageal hernia repair: utilization rates of mesh in the USA and short-term outcome analysis. J Gastrointest Surg. 2017;21(10):1571–6.
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Obeid, N.R., Pryor, A.D. (2022). Laparoscopic Paraesophageal Hernia Repair. In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_20
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