title: Paraesophageal Hernia Repair: Techniques for Success.
abstract: With the introduction of laparoscopy, the outcomes of patients undergoing paraesophageal hernia repair have improved dramatically. When the fundamentals of a proper repair are followed, patients can expect to have improvement in gastroesophageal reflux symptoms, including heartburn, regurgitation, chest pain, dysphagia, and dyspnea. Adhering to these principles will alleviate patients' symptoms and avoid reoperation. This article describes the approach to paraesophageal hernia repair, including patient evaluation, operative technique, and postoperative management. Esophageal lengthening and crural reinforcement with mesh are addressed as well. Adhering to the basic techniques outlined in this article should lead to successful and durable patient outcomes following a paraesophageal hernia repair.
authors.affiliation: Department of Surgery, Northwestern University , Chicago, Illinois.
authors.forename: Tyler D
authors.initials: TD
authors.lastname: Cohn
authors.affiliation: Department of Surgery, Northwestern University , Chicago, Illinois.
authors.forename: Nathaniel J
authors.initials: NJ
authors.lastname: Soper
mesh_terms: D000368:Aged; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000601:surgery*; D006551:Hernia, Hiatal / Q000150:complications / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: antireflux surgery; fundoplication; gastroplasty; hiatal hernia; mesh; paraesophageal hernia