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Updated: Jun 11, 2025
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
5.2K
Complications After Paraesophageal Hernia Repair
Julie M Corbett1, Sven E Eriksson2, Inanc Samil Sarici2
1Foregut Division, Surgical Institute, Allegheny Health Network, 4815 Liberty Avenue, Suite 454, Pittsburgh, PA 15224, USA.
Thoracic Surgery Clinics
|September 27, 2024
Summary
Paraesophageal hernia repair (PEHR) is complex due to patient factors and surgical challenges. This review details PEHR complications, focusing on incidence, recognition, and management strategies.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Digestive System Surgery
Background:
- Paraesophageal hernia repair (PEHR) presents significant technical challenges.
- Patients undergoing PEHR are often elderly with multiple comorbidities, increasing surgical risk.
- PEHR is associated with substantial perioperative morbidity and mortality.
Purpose of the Study:
- To review complication-specific data for paraesophageal hernia repair (PEHR).
- To detail the incidence, recognition, etiology, and management of PEHR complications.
- To provide a comprehensive overview of potential adverse events following PEHR.
Main Methods:
- Literature review focusing on complication-specific data.
- Analysis of incidence, recognition, etiology, and management strategies for PEHR complications.
- Synthesis of information on foregut-specific complications, including reherniation and mesh-related issues.
Main Results:
- Morbidity and mortality vary based on surgical acuity and hernia size.
- Common complications include reherniation, mesh issues, perforation, gastroparesis, and pulmonary complications.
- Early and late complications require careful monitoring and management.
Conclusions:
- PEHR is a high-risk procedure with a spectrum of potential complications.
- Understanding complication patterns is crucial for effective patient management.
- This review provides essential data for optimizing outcomes in PEHR.
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