12. Laparoscopic Paraesophageal Hernia Repair

2012 ◽  
pp. 189-204
Author(s):  
Nathaniel J. Soper
Keyword(s):  
Hernia Repair ◽  
Paraesophageal Hernia ◽  
Paraesophageal Hernia Repair ◽  
Laparoscopic Paraesophageal Hernia Repair

Incidence of Delayed Gastric Emptying Associated with Revisional Laparoscopic Paraesophageal Hernia Repair

2012 ◽  
Vol 17 (2) ◽  
pp. 213-217 ◽  
Author(s):  
Miller Carlton Hamrick ◽  
Steven S. Davis ◽  
Amar Chiruvella ◽  
Rebecca L. Coefield ◽  
J. Patrick Waring ◽  
...  
Keyword(s):  
Gastric Emptying ◽  
Hernia Repair ◽  
Paraesophageal Hernia ◽  
Delayed Gastric Emptying ◽  
Paraesophageal Hernia Repair ◽  
Laparoscopic Paraesophageal Hernia Repair

The Need for Fundoplication at the Time of Laparoscopic Paraesophageal Hernia Repair

2013 ◽  
Vol 79 (6) ◽  
pp. 572-577 ◽  
Author(s):  
Lionel Van Der Westhuizen ◽  
Kaitlyn M. Dunphy ◽  
Brianna Knott ◽  
Alfredo M. Carbonell ◽  
Dane E. Smith ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Patient Characteristics ◽  
Hernia Recurrence ◽  
Paraesophageal Hernia Repair ◽  
Reflux Symptoms ◽  
Postoperative Reflux ◽  
Hiatal Hernia Recurrence ◽  
Laparoscopic Paraesophageal Hernia Repair

Most authors recommend an antireflux operation at the time of laparoscopic paraesophageal hernia (PEH) repair. A fundoplication combats the potential postoperative reflux resulting from disruption of the hiatal anatomy and may minimize recurrence. The purpose of this study is to evaluate the differences in postoperative dysphagia, reflux symptoms, and hiatal hernia recurrence in patients with and without a fundoplication at the time of laparoscopic paraesophageal hernia repair. Patients undergoing laparoscopic PEH repair from July 2006 to June 2012 were identified. Open repairs and reoperative cases were excluded. Patient characteristics, operative details, complications, and postoperative outcomes were recorded. Over the six-year period, 152 laparoscopic PEH repairs were performed. Mean age was 65.8 years (range, 31 to 92) and average body mass index was 29.9 kg/m2 (range, 18 to 52 kg/m2). Concomitant fundoplication was performed in 130 patients (86%), which was determined based on preoperative symptoms and esophageal motility. Mean operative times were similar with fundoplication (188 minutes) and without (184.5 minutes). At a mean follow-up of 13.9 months, there were 19 recurrences: 12.3 per cent (16 of 130) in the fundoplication group and 13.6 per cent (three of 22) in those without. Dysphagia lasting greater than six weeks was present in eight patients in the fundoplication group (6.2%) and in none in those without ( P = 0.603). Eighteen percent of patients without a fundoplication reported postoperative reflux compared with 5.4 per cent of patients with a fundoplication ( P = 0.055). In the laparoscopic repair of PEH, the addition of a fundoplication minimizes postoperative reflux symptoms without additional operative time. Neither dysphagia nor hiatal hernia recurrence is affected by the presence of a fundoplication.

A review of laparoscopic paraesophageal hernia repair

2007 ◽  
Vol 39 (3) ◽  
pp. 174-179 ◽  
Author(s):  
D. Hazzan ◽  
E. H. Chin ◽  
B. Salky
Keyword(s):  
Hernia Repair ◽  
Paraesophageal Hernia ◽  
Paraesophageal Hernia Repair ◽  
Laparoscopic Paraesophageal Hernia Repair

scholarly journals Laparoscopic Paraesophageal Hernia Repair: Defining Long-Term Clinical and Anatomic Outcomes

2011 ◽  
Vol 140 (5) ◽  
pp. S-992
Author(s):  
Brant K. Oelschlager ◽  
Rebecca P. Petersen ◽  
L. Michael Brunt ◽  
Nathaniel J. Soper ◽  
Brett C. Sheppard ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Paraesophageal Hernia ◽  
Paraesophageal Hernia Repair ◽  
Laparoscopic Paraesophageal Hernia Repair

Laparoscopic Paraesophageal Hernia Repair and Pulmonary Embolism

2019 ◽  
Vol 29 (6) ◽  
pp. 534-538
Author(s):  
Daniel G. Davila ◽  
Jamil L. Stetler ◽  
Edward Lin ◽  
Steven Scott Davis ◽  
Christopher G. Yheulon
Keyword(s):  
Pulmonary Embolism ◽  
Hernia Repair ◽  
Paraesophageal Hernia ◽  
Paraesophageal Hernia Repair ◽  
Laparoscopic Paraesophageal Hernia Repair
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