title: [Paraesophageal hiatal hernia. Clinical considerations and report of a case].
abstract: OBJECTIVE
  The authors report their experience about the treatment about a case of paraesophageal hernia and they redefine nosography.
  
  
  METHODS
  Report of 1 case; evaluation of effectiveness of surgical treatment. 1-year follow up. Review of its clinical presentation.
  
  
  METHODS
  Operative Unit of General and Thoracic Surgery. Department of General Surgery, Emergency and Transplantation. Polyclinc, University of Palermo.
  
  
  METHODS
  The patient was submitted to surgery with radical and curative intention.
  
  
  RESULTS
  Complete resolution of the pathology. Follow-up (1 year) negative.
  
  
  CONCLUSIONS
  Management of patients affected by paraesophageal hernia is difficult, because the physiopathology, anatomic basis and clinical presentation are not yet clear. The aim of surgical treatment is to reduce the hernia, to repair the hiatal gap and to make a correct antireflux procedure. According to us, the open surgical approach is very safe and useful because allows more safe surgical dissection, even if there is a big scar on the abdomen, the postoperative staying in hospital is longer. Finally, we emphasise the role of follow-up in these patients: it's the only way to prevent complications.
authors.affiliation: Unità Operativa di Chirurgia Generale ad Indirizzo Toracico, Dipartimento di Chirurgia Generale, d'Urgenza e dei Trapianti d'Organo, Università degli Studi di Palermo. carmesci@hotmail.com
authors.forename: C
authors.initials: C
authors.lastname: Sciumè
authors.forename: G
authors.initials: G
authors.lastname: Geraci
authors.forename: F
authors.initials: F
authors.lastname: Pisello
authors.forename: T
authors.initials: T
authors.lastname: Facella
authors.forename: G
authors.initials: G
authors.lastname: Modica
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management; D005260:Female; D006551:Hernia, Hiatal / Q000145:classification / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D011183:Postoperative Complications; D011859:Radiography