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Updated: Jun 27, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Laparoscopic paraesophageal hernia repair. How I do it
Marco G Patti1, Piero M Fisichella
1Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, IL 60637, USA. mpatti@surgery.bsd.uchicago.edu
Summary
Laparoscopic repair is now the standard for symptomatic paraesophageal hernias, largely replacing open surgical techniques. This approach offers a detailed, step-by-step method for effective treatment.
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- Significant evolution in paraesophageal hernia management over the past 15 years.
- Shift in both repair indications and surgical techniques observed.
Purpose of the Study:
- To outline the current standard of care for paraesophageal hernias.
- To provide a detailed approach to laparoscopic repair.
Main Methods:
- Focus on laparoscopic surgical techniques.
- Step-by-step procedural description for paraesophageal hernia repair.
Main Results:
- Laparoscopic repair has become the predominant surgical method.
- Open approaches (laparotomy, thoracotomy) are now less common.
Conclusions:
- Symptomatic patients are now the primary candidates for surgical intervention.
- Laparoscopic repair is the preferred technique, superseding open surgery.
