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Laparoscopic Surgery for Para-esophageal Hernias

  • Clinton T. Morgan
  • Laura E. Fischer
  • Jad Khoraki
  • Guilherme M. CamposEmail author
Chapter

Abstract

Surgical management of paraesophageal hernias has changed dramatically during the past two decades. Elective laparoscopic paraesophageal hernia repair is now the standard approach to the patient with a symptomatic paraesophageal hernia. The operation is technically challenging and requires numerous intra-operative and peri-operative considerations. Here, we will highlight the key points in the peri-operative and intra-operative management of paraesophageal hernias, emphasizing the operative goals of reduction of the hernia contents, excision of the hernia sac, a tension free repair with complete esophageal mobilization, crural repair, and fundoplication.

Keywords

Hiatus Paraesophageal Diaphragm Esophagus Gastric volvulus Mesh Fundoplication 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Clinton T. Morgan
    • 1
  • Laura E. Fischer
    • 1
  • Jad Khoraki
    • 1
  • Guilherme M. Campos
    • 2
    Email author
  1. 1.Department of SurgeryUniversity of Wisconsin, University of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.Division of Bariatric and Gastrointestinal Surgery, Department of SurgeryVirginia Commonwealth UniversityRichmondUSA

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