Paraesophageal hernia repair.

@article{Mori2012ParaesophagealHR,
  title={Paraesophageal hernia repair.},
  author={Toshiyuki Mori and Gen Nagao and Masanori Sugiyama},
  journal={Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia},
  year={2012},
  volume={18 4},
  pages={
          297-305
        }
}
  • Toshiyuki Mori, Gen Nagao, M. Sugiyama
  • Published 2012
  • Medicine
  • Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
UNLABELLED Paraesophageal hiatal hernia (PHH), accounting for only 5% of all hiatal hernias, may result in potentially life threatening complications such as obstruction, acute dilatation, perforation, or bleeding of the gastric mucosa. It is traditionally believed that PHH is an indication for surgery. The repair of paraesophageal hernia is technically challenging and controversial. The purpose of this article is to overview the current status of indication of surgery; operative techniques… Expand
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Gasless laparoscopic surgery plus abdominal wall lifting for giant hiatal hernia—our single-center experience
  • J. Yu, Ji-xiang Wu, Lei Yu, Jian-ye Li
  • Medicine
  • Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban
  • 2016
TLDR
It was concluded that the gasless laparoscopic approach with abdominal wall lifting to the repair of GHH is feasible, safe, and effective for the patients who cannot tolerate the pneumoperitoneum. Expand
Large Para Esophageal Hernia in Elderly Patients: Laparoscopic Posterior Cruroplasty and Anterior Gastropexy
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The technique of laparoscopic GPEH repair with biological prosthesis is safe with a reduced symptomatic and radiological recurrence and an acceptable morbidity and mortality. Expand
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References

SHOWING 1-10 OF 98 REFERENCES
Laparoscopic paraoesophageal hernia repair: fundoplication is not usually indicated
TLDR
It is suggested that an anti-reflux procedure is not always indicated and may indeed be detrimental to symptomatic outcome, and laparoscopic repair of paraoesophageal hernia repair is an effective treatment with excellent short-term results and no recurrences. Expand
Paraesophageal hernia: clinical presentation, evaluation, and management controversies.
TLDR
Debate remains whether a transthoracic, transabdominal, or laparoscopic approach is best with good surgical outcomes being reported with all three techniques. Expand
Clinical and radiologic assessment of laparoscopic paraesophageal hernia repair
TLDR
Laroscopic PEH repair offers a reasonable alternative to traditional surgery, especially for high-risk patients, and rapid recovery is achieved with acceptable morbidity and early outcome. Expand
Paraesophageal hiatus hernia.
TLDR
Gastroesophageal reflux is rare in patients with paraesphageal hiatus hernia and the addition of gastrostomy to the procedure protects against recurrence of hernia. Expand
Controversies in paraesophageal hernia repair; a review of literature
TLDR
Treatment based on standardized protocols for preoperative assessment and postoperative follow-up is required to clarify the current controversies and no conclusions could be drawn regarding the necessity for an additional antireflux procedure. Expand
Repair of the giant hiatal hernia.
TLDR
Early results have not proven biologic meshes to be as effective in reducing recurrence rates as prosthetic meshes, but there are currently no reports of erosion. Expand
Laparoscopic repair of large paraesophageal hiatal hernia.
TLDR
Laroscopic repair of large paraesophageal hiatal hernias is a challenging operation associated with significant morbidity and mortality and further refinement of the operative technique is indicated before it can be recommended as the standard approach. Expand
Paraesophageal Hernias: Operation or Observation?
TLDR
If ELHR is routinely recommended, it would be more beneficial than WW in fewer than one of five patients, and even if an emergency operation is required, the burden of the procedure is not as severe as was thought in the past. Expand
[Paraesophageal hiatal hernia of the diaphragm].
TLDR
The management of paraesophageal hiatal hernia is influenced by the tendency of the herniated stomach to develop volvulus, which potentiates life-threatening complications that include complete gastric obstruction, bleeding, infarction and perforation. Expand
Laparoscopic management of giant hiatal hernia: factors influencing long-term outcome
TLDR
To reduce recurrences after laparoscopic management of large hiatal hernias, it is essential to identify all cases of short esophagus using intraoperative endoscopy and to perform a Collis–Nissen procedure in such cases. Expand
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