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Updated: Jul 14, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
A management algorithm for esophageal perforation
Jon Kiev1, Michael Amendola, Doumit Bouhaidar
1Division of Cardiothoracic Surgery, Virginia Commonwealth University Medical Center, PO Box 980068, Richmond, VA 23298-0068, USA. jkiev@vcu.edu
Abstract:
Despite the prolonged morbidity caused by a major surgery and the high occurrence of continued leakage, primary repair has been the standard treatment for esophageal perforations. We believe that management using removable esophageal stents is both simpler and more effective. Over the past 3 years, we have treated 14 patients using esophageal stents, and the procedure was successful in all patients. Because of the shorter bed rest that follows endoscopic Polyflex stent (Rush, Inc; Teleflex Medical, Duluth, GA) placement, it is very likely that the care of patients with esophageal perforation will be changed over time.
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