The laparoscopic approach to paraesophageal hernia repair.

ABSTRACT:

Introduction

Laparoscopic paraesophageal hernia repair continues to be one of the most challenging procedures facing the minimally invasive surgeon.

Discussion

A thorough understanding of the tenets of the operation and advanced skills in minimally invasive laparoscopy are needed for long-term freedom from symptomatic and anatomic recurrence. These include complete reduction of the hernia sac from the mediastinum back into the abdomen with careful preservation of the integrity of muscle and peritoneal lining of the crura, aggressive and complete mobilization of the esophagus to the level of the inferior pulmonary vein, vagal preservation, clear identification of the gastroesophageal junction to allow accurate assessment of the intraabdominal esophageal length, and use of Col

SUBMITTER: Nason KS 

PROVIDER: S-EPMC4114521 | biostudies-literature | 2012 Feb

REPOSITORIES: biostudies-literature