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Laparoscopic Paraesophageal Hernia Repair. How I do it
Authors:Marco G. Patti  Piero M. Fisichella
Affiliation:(1) Department of Surgery, University of Chicago Pritzker School of Medicine, 5841 S. Maryland Ave, MC 5095, Room G-201, Chicago, IL 60637, USA;(2) Department of Surgery, Loyola University Medical Center, Stritch School of Medicine, Maywood, IL, USA
Abstract:Introduction  The approach to paraesophageal hernias has changed radically over the last 15 years, both in terms of indications for the repair and of surgical technique. Discussion  Today we operate mostly on patients who are symptomatic and the laparoscopic repair has replaced in most cases the open approach through either a laparotomy or a thoracotomy. The following describes a step by step approach to the laparoscopic repair of paraesophageal hernia. Presented at the 49th Annual Meeting of the Society for Surgery of the Alimentary Tract, San Diego, California, May 17–21, 2008
Keywords:Paraesophageal hernia  Hiatal hernia  Gastroesophageal reflux disease  Mesh repair  Laparoscopic fundoplication
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