A 32-year experience in 100 patients with giant paraesophageal hernia: The case for abdominal approach and selective antireflux repair

Long-term outcome of laparoscopic repair of paraesophageal hernia

“…This compares very favorably with the documented experiences of open paraesophageal hernia repair, where a morbidity rate in the 11.8-60% range and a mortality rate of 0.5-20% have been reported [2,3,6,8,12]. Perhaps the comparison is unfair, since there have been advances in perioperative care that only became available more recently, during the laparoscopic era.…”

“…Recently, as more patients with paraesophageal hernias have been treated laparoscopically, there has been a spate of reports on the outcomes following this procedure [1,3,4,5,7,9]. At the same time, although symptomatic relief appears to be comparable to that obtained with the traditional open methods of repair, there has been growing criticism that the laparoscopic repair is associated with an unacceptable level of anatomic failure and occult hernia recurrence [4].…”

Laparoscopic management of large paraesophageal hiatal hernia

“…Paraesophageal hernias (POHs) are relatively rare, accounting for less than 5% of all hiatal hernias [7]. The condition occurs principally in the elderly and presents with obstructive symptoms rather than those of gastroesophageal reflux.…”

Controversies in paraesophageal hernia repair; a review of literature

“…Some authors state that esophageal dissection during surgery induces gastroesophageal reflux disease (GERD), whereas others advocate that restoration of the anatomical disorder resolves reflux. At present, however, there is little evidence regarding these assumptions, as randomized controlled trials have not been performed up to now [6,18,31,32,51].…”