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Laparoscopic redo paraesophageal hernia repair with collis gastroplasty for shortened esophagus

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Abstract

Esophageal shortening can be seen in patients with chronic inflammation associated with gastroesophageal reflux disease and paraesophageal hernias. During surgical treatment of these conditions, it is important to address the esophageal shortening during the operation for optimal outcomes. Ideally, 2.5–3 cm of tension-free intraabdominal esophagus is recommended. During this video, we show a redo paraesophageal hernia repair in which we were unable to achieve adequate esophageal lengthening despite extensive mediastinal dissection. We therefore proceeded with Collis gastroplasty with Toupet fundoplication.

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Disclosures

Drs. Jones, Tadaki and Oleynikov have nothing to disclose.

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Authors and Affiliations

  1. Southcoast Physicians Group, Southcoast Center for Weight Loss, 100 Rosebrook Way, Suite 300, Wareham, MA, 02571, USA

    Rachel Jones

  2. Department of Surgery, Hardin Memorial Hospital, 913 N Dixie Hwy, Elizabethtown, KY, 42701, USA

    Carl Tadaki

  3. Department of Surgery, University of Nebraska Medical Center, 985126 Nebraska Medical Center, Omaha, NE, 68198-6246, USA

    Dmitry Oleynikov

Authors
  1. Rachel Jones
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  2. Carl Tadaki
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  3. Dmitry Oleynikov
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Corresponding author

Correspondence to Dmitry Oleynikov.

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Jones, R., Tadaki, C. & Oleynikov, D. Laparoscopic redo paraesophageal hernia repair with collis gastroplasty for shortened esophagus. Surg Endosc 29, 736 (2015). https://doi.org/10.1007/s00464-014-3728-y

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  • DOI: https://doi.org/10.1007/s00464-014-3728-y

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