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Updated: Sep 15, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Published on: September 11, 2021

Intrathoracic Omental Hernia Repaired by Laparoscopy: A Case Report.

Akitsugu Fujita¹, Masaya Watanabe¹, Masato Nishida¹

¹Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, JPN.

|July 14, 2025

Summary

This summary is machine-generated.

Intrathoracic omental hernia (ITOH) is a rare condition where the greater omentum protrudes into the chest. Laparoscopic repair offers an effective and minimally invasive treatment for symptomatic ITOH.

Keywords:

esophageal hiatal hernia intrathoracic omental hernia laparoscopic hernia repair laparoscopic surgery type-ii hiatal hernia

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Area of Science:

Gastroenterology
Thoracic Surgery
Surgical Innovation

Background:

Intrathoracic omental hernia (ITOH) is a rare hiatal hernia variant.
The etiology of ITOH remains unknown.
Symptomatic ITOH necessitates surgical intervention due to risks like intussusception.

Observation:

A 79-year-old male presented with chest tightness during swallowing.
Imaging (MRI, CT) diagnosed ITOH with greater omentum in the posterior mediastinum.
The patient underwent laparoscopic repair for symptomatic ITOH.

Findings:

Laparoscopic surgery successfully reduced the omental prolapse.
Hernial orifice closure was achieved using a 3-0 barbed suture.
The patient experienced a favorable postoperative recovery and was discharged on postoperative day six.

Implications:

Laparoscopic repair is an effective and minimally invasive treatment for ITOH.
Early surgical management is recommended for ITOH, even in asymptomatic cases.
This case highlights successful laparoscopic management of a rare intrathoracic hernia.