Laparoscopic repair of paraesophageal hiatal hernias.
The advent of minimally invasive techniques has brought about a shift in the operative approach of patients with paraesophageal hiatal hernia. Today, the laparoscopic repair of a paraesophageal hiatal hernia has almost completely replaced the open approach through either a laparotomy or a left thoracotomy. The laparoscopic repair of paraesophageal hiatal hernias is a technically challenging operation; however, it is technically feasible and safe, and it is associated with a positive relief of symptoms, decreased postoperative pain, and a rapid return to normal activities (1, 2). This paper describes, step by step, our approach to the laparoscopic repair of a paraesophageal hiatal hernia.
Fisichella
Piero M
PM
Department of Surgery, Loyola University Medical Center, Maywood, Illinois 60153, USA. marco6370@yahoo.com
Patti
Marco G
MG
D004947:Esophagus; D018662:Fundoplication; D006548:Hernia, Diaphragmatic / Q000601:surgery; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011300:Preoperative Care