Laparascopic Repair of Giant Type IV Paraesophageal Hernia

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By Gan H. Dunnington, Jr, MD, Leo Gazoni, MD, Bruce Schirmer, MD, and Benjamin David Kozower, MD, MPh

STSA Surgical Motion Picture 2009 Annual Meeting

Type IV paraesophageal hernia can be a complicated problem which may be managed from various surgical approaches.  This video describes the technical aspects of a laparascopic approach and the necessity of adhering to the surgical principles required for a successful repair.  Hernia sac excision and reduction of its content, hiatal closure and reinforcement if necessary, lengthening of a foreshortened esophagus, and anti-reflux procedure are all crucial to ensuring an optimal result.

The video can also be viewed, larger, in a new window: Laparascopic Repair of Giant Type IV Paraesophageal Hernia.