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Updated: Jun 4, 2026
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Paraoesophageal herniation: a review.
1Department of Surgery, Northampton General Hospital, UK. khannaachal@hotmail.com
Summary
Paraoesophageal hiatus hernia repair is complex, especially in elderly patients. This review examines paraoesophageal herniae, pre-operative tests, and surgical options, highlighting the need for centralized care.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Medical Devices
Background:
- Paraoesophageal hiatus hernia repair presents significant challenges, particularly in elderly patients with comorbidities.
- Patients may experience acute presentations with severe symptoms and biochemical imbalances.
- Surgical techniques for this condition remain a subject of debate.
Purpose of the Study:
- To explain the nature of paraoesophageal hiatus herniae.
- To review recommended pre-operative investigations and available operative strategies.
- To explore the routine use of meshes in paraoesophageal hernia repair.
Main Methods:
- A literature search was conducted using PubMed, Embase, and the Cochrane library.
- MeSH terms 'paraoesophageal hernia repair' AND 'mesh' were utilized for systematic searches.
- Studies were limited to humans, English language, adults aged 19+, and published between 1990 and 2010.
Main Results:
- Drawing firm conclusions is challenging due to the varied nature of the disorder and its presentation.
- Management principles can be suggested, but no single operative technique is conclusively proven most effective.
- Surgical options are described, acknowledging the lack of definitive proof for optimal approaches.
Conclusions:
- Centralization of paraoesophageal hiatus hernia cases into regional centers is advocated.
- Centralization can facilitate research and improve patient care standards.
- This approach addresses the relative scarcity of cases in smaller institutions.
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