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Current Gastroenterology Reports

Erschienen in:

01.10.2016 | Esophagus (JO Clarke, Section Editor)

The Optimal Approach to Symptomatic Paraesophageal Hernia Repair: Important Technical Considerations

verfasst von: Jessica A. Zaman, Anne O. Lidor

Erschienen in: Current Gastroenterology Reports | Ausgabe 10/2016

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Abstract

While the asymptomatic paraesophageal hernia (PEH) can be observed safely, surgery is indicated for symptomatic hernias. Laparoscopic repair is associated with decreased morbidity and mortality; however, it is associated with a higher rate of radiologic recurrence when compared with the open approach. Though a majority of patients experience good symptomatic relief from laparoscopic repair, strict adherence to good technique is critical to minimize recurrence. The fundamental steps of laparoscopic PEH repair include adequate mediastinal mobilization of the esophagus, tension-free approximation of the diaphragmatic crura, and gastric fundoplication. Collis gastroplasty, mesh reinforcement, use of relaxing incisions, and anterior gastropexy are just a few adjuncts to basic principles that can be utilized and have been widely studied in recent years. In this article, we present a comprehensive review of literature addressing key aspects and controversies regarding the optimal approach to repairing paraesophageal hernias laparoscopically.

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Titel: The Optimal Approach to Symptomatic Paraesophageal Hernia Repair: Important Technical Considerations
verfasst von: Jessica A. Zaman
Anne O. Lidor
Publikationsdatum: 01.10.2016
Verlag: Springer US
Erschienen in: Current Gastroenterology Reports / Ausgabe 10/2016
Print ISSN: 1522-8037
Elektronische ISSN: 1534-312X
DOI: https://doi.org/10.1007/s11894-016-0529-6

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