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Updated: Feb 4, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
7.5K
Management of the Difficult Hiatal Hernia
Matthew Rochefort1, Jon O Wee2
1Division of Thoracic Surgery, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Thoracic Surgery Clinics
|October 1, 2018
Summary
Giant paraesophageal hernia repair requires careful assessment of esophageal length and crural closure. Surgical techniques like extended dissection, Collis gastroplasty, and mesh are vital for preventing recurrence.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Giant paraesophageal hernias present complex surgical challenges.
- Recurrence is a significant complication after surgical repair.
Purpose of the Study:
- To outline the ideal operative approach for giant paraesophageal hernias.
- To discuss strategies for minimizing hernia recurrence.
Main Methods:
- Evaluation of functional anatomy and intraoperative assessment.
- Individualized application of surgical adjuncts.
Main Results:
- Key factors for recurrence include inadequate esophageal length and crural closure tension.
- Surgical adjuncts like extended transmediastinal dissection, Collis gastroplasty, and mesh reinforcement are essential.
Conclusions:
- A tailored surgical strategy is crucial for successful giant paraesophageal hernia repair.
- Addressing esophageal length and crural tension prevents recurrence.
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