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Updated: Jun 28, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Paraesophageal hernia: surgery problems in emergency.

Andrea Cavallaro¹, Vito Catania, Marco Cavallaro

¹Università degli Studi di Catania, Azienda Ospedaliero Universitaria Policlinico "Gaspare Rodolico" Catania, Italia. andrecavallaro@tiscali.it

Annali Italiani Di Chirurgia

|October 31, 2008

Summary

Paraesophageal hiatal hernia repair, though feasible endoscopically, lacks standardization. A case report highlights open repair

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Area of Science:

Gastroenterology
Surgical Innovation
Hernia Repair

Background:

Paraesophageal hernias are uncommon, comprising 5% of hiatal hernias.
Endoscopic repair of paraesophageal hernias is possible but lacks standardized procedures and systematic evaluation.
Current literature lacks consensus on laparoscopic repair reliability and the need for antireflux procedures.

Observation:

A case of strangulated paraesophageal hiatal hernia in an elderly male treated with an open surgical approach.
The patient experienced complete symptom remission and effective repair at an 18-month follow-up.
Mesh augmentation in the hiatus may reduce recurrences, but criteria for its use are not uniform.

Findings:

The open surgical approach demonstrated effectiveness in treating strangulated paraesophageal hiatal hernia.
The literature review revealed a lack of standardized protocols for laparoscopic repair and antireflux procedures.
Uniform indications for esophageal lengthening procedures or preoperative assessment for shortened esophagus are not established.

Implications:

Standardized protocols for preoperative assessment and postoperative follow-up are crucial for paraesophageal hernia surgery.
Further research is needed to address controversies in surgical indications and approaches for paraesophageal hernias.
Establishing uniform criteria for mesh use and antireflux procedures will improve surgical outcomes.