Related Experiment Video
Updated: Feb 4, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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.
Abstract:
The ideal operative solution to giant paraesophageal hernias involves a complex evaluation of the functional anatomy and the intraoperative assessment of both esophageal length and crural closure tension. The addition of surgical adjuncts such as extended transmediastinal dissection, Collis gastroplasty, and mesh reinforcement are all necessary, on an individualized basis, to address these 2 primary causes of hernia recurrence. We discuss the options available.
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