Abstract
In 1889, Postempski first reported the repair of a wound of the diaphragm. Ackerlund described different types of paraesophageal hernia in 1926, and the first hiatal hernia repair (fundoplication) was reported by Nissen in 1955.Since then, Nissen fundoplication has gained wide acceptance and is now recognized as the operation of choice for antireflux surgery and, although technically challenging, the laparoscopic approach has become the “gold standard” of paraesophageal hernia repair.
The goal of a paraesophageal hernia repair is to bring the stomach (with other organs such as colon, omentum, spleen) and the lower esophagus back into the abdominal cavity, to excise the hernia sac, to approximate crura, to perform a fundoplication in order to prevent gastroesophageal reflux, and finally to perform a gastropexy in order to prevent gastric volvulus.
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© 2016 Springer-Verlag Berlin Heidelberg
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Michel, JM., Krähenbühl, L. (2016). Operation for Paraesophageal Hernia. In: CLAVIEN, PA., Sarr, M., Fong, Y., Miyazaki, M. (eds) Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46546-2_33
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DOI: https://doi.org/10.1007/978-3-662-46546-2_33
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