The History of Hiatal Hernia and Antireflux Surgery

  • Thadeus L. TrusEmail author


The history of diaphragmatic hernias dates back as far as the sixteenth century. Interestingly, hiatal hernia was thought to be clinically irrelevant. The link between hiatal hernia and gastroesophageal reflux did not warrant any attention until the mid-twentieth century. This understanding seemed to be biphasic; the first being in the 1950s and the second in the era of laparoscopic surgery where visualization of the hiatus was unprecedented. The revitalization of laparoscopic fundoplication spurred a resurgence of interest and research in the pathophysiology of reflux disease. This chapter will outline the evolution of hiatal hernia and antireflux surgery from thoracic to abdominal to laparoscopic and endoscopic approaches.


Hiatal hernia Antireflux surgery Diaphragmatic hernias Nissen fundoplication 


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© SAGES 2019

Authors and Affiliations

  1. 1.Geisel School of Medicine, Dartmouth Hitchcock Medical CenterLebanonUSA

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