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Updated: Oct 14, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Giant Paraesophageal Hernia With Obstructing Splenic Flexure Mass in the Left Hemithorax
Andrew M Fleming1, Brent V Scheckel1, Kristin E Harmon1
1Department of Surgery, Division of Surgical Oncology, and College of Medicine, The University of Tennessee Health Science Center, Memphis, TN, USA.
Abstract:
Giant paraesophageal hernias contain greater than fifty percent of the stomach above the diaphragm. Over fifty percent of large bowel obstructions are due to colorectal adenocarcinoma. Here, we present a rare case of a 69-year-old female patient who developed a closed loop colonic obstruction caused by a colonic mass in the distal transverse colon within a giant paraesophageal hernia. We successfully performed emergent paraesophageal hernia reduction and mesh repair with extended right hemicolectomy and ileocolonic anastomosis. Emergent hernia repair via an abdominal approach can be used in this setting.
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