Paraesophageal Hernia

Dmitry Oleynikov; Jennifer M. Jolley

doi:10.1016/j.suc.2015.02.008

Paraesophageal Hernia

Dmitry Oleynikov, Jennifer M. Jolley

Research output: Contribution to journal › Review article › peer-review

13 Scopus citations

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 language	English (US)
Pages (from-to)	555-565
Number of pages	11
Journal	Surgical Clinics of North America
Volume	95
Issue number	3
DOIs	https://doi.org/10.1016/j.suc.2015.02.008
State	Published - Jun 1 2015

Keywords

Hernia
Hiatal
Laparoscopic
Nissen fundoplication
Paraesophageal

ASJC Scopus subject areas

Surgery

Access to Document

10.1016/j.suc.2015.02.008

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Cite this

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title = "Paraesophageal Hernia",

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.",

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AB - 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.

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