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Updated: May 7, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
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Laparoscopic paraesophageal hernia repair
Marco E Allaix1, Marco G Patti
1Department of Surgery, Center for Esophageal Diseases, Pritzker School of Medicine, University of Chicago, Chicago, IL.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|October 10, 2013
Summary
Laparoscopic repair with fundoplication is the primary treatment for symptomatic paraesophageal hernia (PEH). While technically demanding, this procedure offers symptom relief for most patients, though small, asymptomatic recurrences can occur.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Paraesophageal hernia (PEH) treatment has evolved significantly over the last two decades.
- Laparoscopic repair with fundoplication is now the standard of care for symptomatic PEH in many centers.
Purpose of the Study:
- To describe a step-by-step approach to laparoscopic repair of paraesophageal hiatal hernias.
- To highlight and discuss technical controversies associated with PEH repair.
Main Methods:
- Step-by-step description of the laparoscopic repair technique.
- Focus on addressing technical challenges and controversies in PEH surgery.
Main Results:
- Laparoscopic repair is technically demanding but effective for symptom relief in most PEH patients.
- Recurrences after repair are typically small and asymptomatic.
Conclusions:
- Laparoscopic repair with fundoplication is a primary treatment for symptomatic PEH.
- Understanding technical nuances is crucial for successful PEH repair and minimizing recurrence.
