Surgical treatment of paraesophageal hernias has changed significantly in the last decade. Laparoscopy has decrease the risk associated with open surgery and today a larger number of high risk cases are being performed. The minimally invasive surgeon is faced with many challenges and controversies during these procedures. One of the major issues is recognition of a shortened esophagus, which affects only 3 to 5 percent of cases. Recognition of inadequate intraabdominal esophageal length is critical in providing effective treatment. Additionally, recent data support the use of a biosynthetic mesh buttress to decrease hernia recurrence rates. In this video we present a fifty year-old female with a giant paraesophageal hernia and a true short esophagus. A laparoscopic paraesophageal hernia repair with biosynthetic mesh and “wedge” Collis gastroplasty was performed. The patient was discharged home on postoperative day number five and at 6-month follow up demonstrate dramatic improvement in her symptoms and had no signs of recurrence.
Session: Podium Video Presentation
Program Number: V037