Left Diaphragm Relaxing Incision for Type IV Paraesophageal Hernia Repair

Melanie L Hafford, MD, Lee Morris, MD, Nabil Tariq, MD, Vadim Sherman, MD, Patrick Reardon, MD, Brian J Dunkin, MD

The Methodist Hospital

Large paraesophageal hernias in which the crura cannot be primarily approximated present a clinical challenge. The purpose of this video, is to demonstrate a left diaphragm relaxing incision as an alternative surgical technique for management of a type IV paresophageal hernia. A review of current management strategies is included, as well as anatomic landmarks necessary to perform the relaxing incision.


Session: Video ChannelDay 3

Program Number: V121

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