Laparoscopic Paraesophageal Hernia Repair with Collis Gastroplasty and Diaphragmatic Relaxing Incision

Geoffrey Chow, MD, Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine.

This video shows a laparoscopic repair of a type III paraesophageal hernia. Despite full mobilization, a short esophagus was present and a stapled Collis-type wedge fundectomy was performed as an esophageal lengthening procedure. Additionally, a wide hiatal defect prevented primary closure and a right-sided diaphragmatic relaxing incision was used to help approximate the crura. An absorbable synthetic mesh was used to cover the resulting diaphragmatic defect and buttress the crural repair.

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