Abstract
Paraesophageal hernias comprise only 2–5% of all hiatal hernias, yet unlike the more common sliding hiatal hernia, paraesophageal hernias are prone to undergo volvulus, with obstruction, ischemia, and gangrenous perforation. Due to their propensity toward calamitous complications, they must be recognized and repaired as expeditiously as possible. Traditionally these hernias have been repaired by either an open transabdominal or an open transthoracic approach. Laparoscopic repair with Nissen fundoplication has already been successfully applied to the repair of the more common sliding hiatal hernia. Described here is the laparoscopic repair of two paraesophageal hernias. The merit of an anti-reflux procedure as part of this repair is discussed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Allison PR (1951) Reflux esophagitis sliding hiatal hernia and the anatomy of repair. Surg Gynecol Obstet 92: 419
Cushieri A, Shimi S, Nathanson LK (1992) Laparoscopic reduction, crural repair, and fundoplication of large hiatal hernia. Am J Surg 163: 425
Dallemagne B, Weerts JM, Jahaes C, Markiewicz S, Lombard R (1991) Laparoscopic Nissen fundoplication: preliminary report. Surg Laparoscopy Endosc 1: 138
DePaula AL, Hashiba K, Bafutto M (1992) Laparoscopic treatment of gastroesophageal reflux disease by partial and total fundoplication. Presented before the International Minimal Access Surgery Symposium, Kansas City, MO, November 22
Ellis FH (1978) Paraesophageal hiatus hernia in Hernia. JB Lippincott, Philadelphia, pp 591–601
Gahagan T (1967) Hiatus hernia without esophageal reflux. Arch Surg 95: 595
Hill LD (1967) An effective operation for hiatal hernia: an eight-year appraisal. Ann Surg 166: 681
Hill LD, Tobias JA (1968) Paraesophageal hernia. Arch Surg 96: 735
Hinder RA, Fillipi CJ (1992) The technique of laparoscopic Nissen fundoplication. Surg Laparoscopy Endosc 2: 265
Nissen R (1956) Die gastropexie als alleinigen eingress bei hiatushernien. Dtsch Med Wochenschr 81: 185
Ozdemis IA, Burke WA, Ikins PM (1973) Paraesophageal hernia, a life-threatening disease. Ann Thor Surg 16: 547
Sellors TH, Rapp C (1955) Strangulated diaphragmatic hernia with torsion of the stomach. Br J Surg 43: 289
Shackelford RT (1978) Hiatal hernia in Surgery of the Alimentary Tract. WB Saunders, Philadelphia, pp 496
Skinner DB, Belsey RHR (1967) Surgical management of esophageal reflux and hiatus hernia. J Thorac Cardiovas Surg 53: 33
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Cloyd, D.W. Laparoscopic repair of incarcerated paraesophageal hernias. Surg Endosc 8, 893–897 (1994). https://doi.org/10.1007/BF00843464
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00843464