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Updated: May 22, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
How I do it: laparoscopic paraesophageal hernia repair
Edward D Auyang1, Carlos A Pellegrini
1Department of Surgery, University of Washington, 1959 NE Pacific Street, Box 356410, Seattle, WA 98195, USA.
Summary
Laparoscopic repair of paraesophageal hernias offers a low-risk, minimally invasive option for older patients. However, anatomic recurrence remains a common challenge despite the technique
Area of Science:
- Gastroenterology and Surgical Innovation
- Minimally Invasive Surgery Techniques
Background:
- Paraesophageal hernias represent complex upper gastrointestinal abnormalities.
- These hernias often affect elderly patients with comorbidities.
- Laparoscopic repair is favored over open repair due to better patient tolerance and fewer hemodynamic changes.
Purpose of the Study:
- To describe the technique for laparoscopic paraesophageal hernia repair.
- To highlight key technical aspects of the procedure.
Main Methods:
- Laparoscopic approach for paraesophageal hernia repair.
- Key steps include gastric reduction, hernia sac excision, crural defect closure (with or without mesh), and fundoplication.
Main Results:
- The described laparoscopic technique is associated with low morbidity.
- Patients experience a short hospital stay following the procedure.
Conclusions:
- Anatomic recurrence of paraesophageal hernias is frequent after laparoscopic repair.
- Recurrence rates remain high even when the procedure is performed by experienced surgeons.
