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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease

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Related Experiment Video

Updated: May 20, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Paraesophageal hernia repair.

Toshiyuki Mori1, Gen Nagao, Masanori Sugiyama

  • 1Department of Surgery, Kyorin University, Tokyo, Japan. mori@ks.kyorin-u.ac.jp

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|August 2, 2012
PubMed
Summary

Paraesophageal hiatal hernia (PHH) surgery is recommended for symptomatic patients. A selective approach is advised for asymptomatic cases, with laparoscopic repair and mesh augmentation showing promising results for recurrence.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Paraesophageal hiatal hernia (PHH) is rare, comprising 5% of hiatal hernias.
  • PHH can lead to severe complications like obstruction, perforation, or bleeding.
  • Surgical repair of PHH is complex and debated.

Purpose of the Study:

  • To review current surgical indications for PHH.
  • To discuss operative techniques for PHH repair.
  • To explore additional anti-reflux procedures.

Main Methods:

  • Laparoscopic approach is the current standard of care.
  • Hernia sac resection and circumferential excision are recommended.
  • Collis-Nissen procedure is favored for esophageal lengthening.

Main Results:

  • Symptomatic PHH patients benefit from surgery; asymptomatic patients may not require it.
  • Laparoscopic repair has a low penetration rate.
  • Primary crural repair has high anatomic recurrence, while mesh repair shows a 5% recurrence rate but carries risks.

Conclusions:

  • Symptomatic PHH warrants surgical intervention.
  • A selective approach to PHH surgery is appropriate.
  • Laparoscopic repair with mesh augmentation and fundoplication offers effective management.