Abstract
The management of paraesophageal hiatal hernias (PEHs) has evolved since the first publication on the subject in 1853. As in many areas of surgery, the open approach was the norm until the advent of laparoscopy in the 1990s. The laparoscopic approach is now the standard with some established principles in the surgical approach. A knowledge of the anatomy of the esophageal hiatus and the adjacent structures is of paramount importance in avoiding catastrophic injuries since the working area for the surgeon is relatively small. Although there is general agreement among surgeons regarding excision of the sac and the importance of esophageal mobilization, there are still areas of controversy. Questions regarding the routine use of mesh, type of fundoplication, and the role of robotic surgery remain unanswered.
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Ajouz, H., Rogers, M.P., Ducoin, C., Velanovich, V., Brathwaite, C.E.M. (2023). Diagnosis and Management of Paraesophageal Hiatal Hernia. In: Nguyen, N.T., et al. The AFS Textbook of Foregut Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-19671-3_14
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