title: Laparoscopic paraesophageal hernia repair. How I do it.
abstract: BACKGROUND
  The approach to paraesophageal hernias has changed radically over the last 15 years, both in terms of indications for the repair and of surgical technique.
  
  
  CONCLUSIONS
  Today we operate mostly on patients who are symptomatic and the laparoscopic repair has replaced in most cases the open approach through either a laparotomy or a thoracotomy. The following describes a step by step approach to the laparoscopic repair of paraesophageal hernia.
authors.affiliation: Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, IL 60637, USA. mpatti@surgery.bsd.uchicago.edu
authors.forename: Marco G
authors.initials: MG
authors.lastname: Patti
authors.forename: Piero M
authors.initials: PM
authors.lastname: Fisichella
mesh_terms: D018662:Fundoplication / Q000379:methods*; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010147:Pain Measurement; D010149:Postoperative Pain / Q000503:physiopathology; D011182:Postoperative Care / Q000379:methods; D013536:Suture Techniques; D016896:Treatment Outcome