Management of Recurrent Paraesophageal Hernia

Recurrent symptomatic paraesophageal hernias (PEHs) can lead to significant morbidity if untreated. Surgical treatment of recurrent PEH can pose a great challenge. Several different surgical options are available and need to be considered on an individual basis. Before embarking on the repair of a r...

Full description

Saved in:
Bibliographic Details
Published inThoracic surgery clinics Vol. 29; no. 4; p. 427
Main Authors Witek, Tadeusz D, Luketich, James D, Pennathur, Arjun, Awais, Omar
Format Journal Article
LanguageEnglish
Published United States 01.11.2019
Subjects
Hernia, Hiatal - surgery
Herniorrhaphy - methods
Humans
Laparoscopy
Patient Satisfaction
Recurrence
Reoperation - methods
Treatment Outcome
Esophageal surgery
Redo hiatal surgery
Recurrent paraesophageal hernia
Esophagus
Online AccessGet more information

Cover

More Information
Summary:Recurrent symptomatic paraesophageal hernias (PEHs) can lead to significant morbidity if untreated. Surgical treatment of recurrent PEH can pose a great challenge. Several different surgical options are available and need to be considered on an individual basis. Before embarking on the repair of a recurrent hernia, a thorough work-up needs to be completed. Although recurrent PEHs have traditionally been repaired through an open approach, a minimally invasive approach can be performed by surgeons with extensive experience in minimally invasive esophageal surgery. Repair of recurrent PEH provides excellent patient satisfaction and symptoms resolution. Routine follow-up with surveillance imaging can assist in treating recurrent symptoms.
ISSN:1558-5069
DOI:10.1016/j.thorsurg.2019.07.011