PS01.066: Laparoscopic Para-Hiatal Hernia Repair

Abstract

Description This is a video submission showing laparoscopic repair of a parahiatal hernia. The patient is a 44 year old female who presented with heartburn, regurgitation and chest pain. EGD and CT showed a type 3 paraesophageal hernia. Intra-operatively, we discovered instead a diaphragmatic defect adjact to the hiatus through which the stomach had herniated. Although this has been reported in some case reports it is uncommon. We approached the repair laparoscopically with dissection of the right and left crus followed by dissection of the parahiatal hernia and reduction of the stomach. We then repaired the hernia defect and reinforced the repair with mesh. We concluded with a Nissen fundoplication. Disclosure All authors have declared no conflicts of interest.