9 Citations (Scopus)

Abstract

Minimally invasive surgery is the mainstay of treatment for symptomatic hiatal hernia. Laparoscopic paraesophageal hernia (PEH) repair includes certain key steps such as complete reduction of the hernia sac, identification of both crura and the gastroesophageal junction, obtaining at least 3cm of intra-abdominal esophageal length, tension-free re-approximation of the crura utilizing an absorbable mesh onlay, creation of an anti-reflux procedure, and diagnostic endoscopy at the end of the procedure. This article reviews various aspects of managing a patient who presents with a paraesophageal hernia and examines the current controversies in surgical technique with regards to laparoscopic PEH repair.

Original languageEnglish (US)
Pages (from-to)555-565
Number of pages11
JournalSurgical Clinics of North America
Volume95
Issue number3
DOIs
StatePublished - Jun 1 2015

Fingerprint

Hiatal Hernia
Herniorrhaphy
Esophagogastric Junction
Inlays
Minimally Invasive Surgical Procedures
Hernia
Endoscopy
Therapeutics

Keywords

  • Hernia
  • Hiatal
  • Laparoscopic
  • Nissen fundoplication
  • Paraesophageal

ASJC Scopus subject areas

  • Surgery

Cite this

Paraesophageal Hernia. / Oleynikov, Dmitry; Jolley, Jennifer M.

In: Surgical Clinics of North America, Vol. 95, No. 3, 01.06.2015, p. 555-565.

Research output: Contribution to journalArticle

Oleynikov, Dmitry ; Jolley, Jennifer M. / Paraesophageal Hernia. In: Surgical Clinics of North America. 2015 ; Vol. 95, No. 3. pp. 555-565.
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