Related Experiment Video
Updated: May 29, 2026
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Laparoscopic treatment of type III para-oesophageal hernia
1Division of Paediatrics Surgery, Department of Surgery, University of Pretoria. Wits.George.Oettle@wits.ac.za
Insights
Laparoscopic repair of type III congenital para-oesophageal hernia in children is a safe and effective treatment. This minimally invasive approach successfully treated four pediatric cases with no recurrences, demonstrating its feasibility.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Minimally Invasive Surgery
Background:
- Type III congenital para-oesophageal hernia is a rare pediatric condition.
- It involves herniation of the stomach and gastro-oesophageal junction into the chest.
- Surgical repair is necessary to correct this anomaly.
Purpose of the Study:
- To describe the laparoscopic repair of type III congenital para-oesophageal hernias in children.
- To evaluate the safety and efficacy of the laparoscopic approach for this condition.
Main Methods:
- Laparoscopic repair of four cases of type III congenital para-oesophageal hernia.
- Surgical procedures performed between 2002 and 2010.
- Focus on minimally invasive techniques for pediatric patients.
Main Results:
- All four pediatric hernias were successfully treated using the laparoscopic method.
- No instances of hernia recurrence were observed post-operatively.
- The laparoscopic approach proved to be a safe and feasible option.
Conclusions:
- Laparoscopic repair is a technically challenging but feasible and safe option for type III congenital para-oesophageal hernias in children.
- Paediatric surgeons experienced in laparoscopic anti-reflux surgery can achieve successful outcomes.
- Minimally invasive surgery offers a viable treatment for this rare pediatric condition.
Abstract:
Type III congenital para-oesophageal hernia is a rare condition in children and is characterised by the herniation of both a substantial portion of the stomach and the gastro-oesophageal junction into the chest. This report describes the laparoscopic repair of 4 para-oesophageal hernias in children between 2002 and 2010. All hernias were treated successfully using the laparoscopic method. There were no recurrences. The laparoscopic repair of a para-oesophageal hernia is technically challenging, but is feasible and safe in the hands of paediatric surgeons familiar with laparoscopic anti-reflux surgery.
