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Updated: Jan 18, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Management of Complications in Paraesophageal Hernia Repair
Taryne A Imai1, Harmik J Soukiasian1
1Division of Thoracic Surgery, Cedars-Sinai Medical Center, 8631 West 3rd Street, Suite 240E, Los Angeles, CA 90048, USA.
Abstract:
Paraesophageal hernia repair is a technically challenging operation. Factors that influence morbidity of the operation include the timing of the operation, surgical approach, and patient factors. Medical complications are the most common and usually are respiratory or cardiac related. Perforation, subcutaneous emphysema, pneumothorax, shortened esophagus, and presence of a large hernia all complicate paraesophageal hernia repair. Various strategies of intraoperative management are described. Management of leaks and perforations identified postoperatively are dictated by the clinical status of the patient. Early identification and expeditious intervention are paramount in the overall management of complications.
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