Emergent Laparoscopic Paraesophageal Hernia Repair

Piotr Krecioch, MD, Thomas Shin, MD, William Strodel III, MD, Jon Gabrielsen, MD, Anthony Petrick, MD. Geisinger Medical Center

This is a case of a 79yo gentleman who presented with an acutely incarcarated paraesophageal hernia with gastric volvulus and perforation. The patient underwent an emergent laparoscopic paraesophageal hernia repair and was found to have necrotic stomach and perforation requiring total gastrectomy, leaving the patient in discontinuity in the acute setting with the plan for reconstruction 2-3 months later. This video demonstrates that even in complicated emergent cases of incarcarated and perforated gastric volvulus with gastric necrosis, a minimally invasive approach may be safely utilized.