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Hiatal Hernia

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...

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Updated: Apr 19, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Parastomal hernia repair.

Conor H O'Neill¹, Edward C Borrazzo, Neil H Hyman

¹Division of Gastrointestinal Surgery, Department of Surgery, University of Vermont, Burlington, VT, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|December 16, 2014

Summary

This summary is machine-generated.

Parastomal herniation repair has historically high recurrence. This study details effective laparoscopic mesh sublay (Sugarbaker technique) and anterior approach repairs for managing this common complication.

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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Area of Science:

Surgical Oncology
Gastroenterology
Abdominal Wall Reconstruction

Background:

Parastomal herniation is a frequent complication following ostomy creation.
Previous surgical repairs have demonstrated high recurrence rates.
Conservative management is often preferred for asymptomatic or mildly symptomatic patients.

Purpose of the Study:

To describe surgical techniques for parastomal hernia repair.
To evaluate the efficacy of laparoscopic mesh sublay and anterior approaches.
To provide options for patients unsuitable for traditional open surgery.

Main Methods:

Laparoscopic mesh sublay with stoma limb lateralization (Sugarbaker technique) for suitable candidates.
Anterior approach fascial onlay with mesh for high-risk patients.
Review of outcomes for these distinct surgical strategies.

Main Results:

The Sugarbaker technique and anterior mesh onlay offer viable repair options.
These methods aim to reduce recurrence rates associated with parastomal hernias.
Tailored approaches address patient-specific risk factors and anatomy.

Conclusions:

Laparoscopic mesh sublay (Sugarbaker) and anterior mesh onlay are effective for parastomal hernia repair.
These techniques provide durable solutions with potentially lower recurrence.
Surgical strategy should be individualized based on patient risk and hernia characteristics.