Abstract
Paraesophageal hernias (PEH) account for 5% of all hiatal hernias. While some patients remain asymptomatic and their hernias are diagnosed accidentally, others present with a wide variety of symptoms secondary to gastroesophageal reflux or intermittent obstruction. Rarely, patients present with acute severe symptoms and potentially lethal complications such as volvulus, strangulation, incarceration, and perforation. Surgical repair is indicated mainly for symptomatic PEH. The laparoscopic PEH repair is the preferred approach in most patients. This procedure can be very challenging and has potential life-threatening complications. Therefore, it should be done by experienced surgeons who respect important technical elements in each step of the operation.
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Davis SS Jr. Current controversies in paraesophageal hernia repair. Surg Clin North Am. 2008;88(5):959–78.
Dallemagne B, Quero G, Lapergola A, et al. Treatment of giant paraesophageal hernia: pro laparoscopic approach. Hernia. 2018;22(6):909–19.
Cuschieri A, Shimi S, Nathanson LK. Laparoscopic reduction, crural repair, and fundoplication of large hiatal hernia. Am J Surg. 1992;163(4):425–30.
Schlottmann F, Strassle PD, Farrell TM, et al. Minimally invasive surgery should be the standard of care for paraesophageal hernia repair. J Gastrointest Surg. 2017;21(5):778–84.
Oelschlager BK, Pellegrini CA, Hunter J, et al. Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial. Ann Surg. 2006;244(4):481–90.
Oelschlager BK, Pellegrini CA, Hunter JG, et al. Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg. 2011;213(4):461–8.
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Schlottmann, F., Di Corpo, M., Patti, M.G. (2020). Management of Paraesophageal Hernia. In: Patti, M., Di Corpo, M., Schlottmann, F. (eds) Foregut Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27592-1_17
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DOI: https://doi.org/10.1007/978-3-030-27592-1_17
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