• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Novel Combined Vats/laparoscopic Approach for Giant and Complicated Paraesophageal Hernia Repair

 

NOVEL COMBINED VATS/LAPAROSCOPIC APPROACH FOR GIANT AND COMPLICATED PARAESOPHAGEAL HERNIA REPAIR: DESCRIPTION OF TECHNIQUE AND EARLY RESULTS

Presented by Daniela Molena at the SAGES 2014 Meeting; Panel – Concurrent session SS2 Video 1

Daniela Molena, MD, Benedetto Mungo, MD, Miloslawa Stem, MS, Anne O Lidor, MD, MPH; Johns Hopkins Medicine


Points of interest:
CT of giant type IV PEH–15 sec
procedure begins–52 sec
thoracic exploration–55 sec
division of inferior pulmonary ligament–1:07
dissection of the hernia sac aortic side–1


Keyword(s): 52 Fr Bougie, ABD, abdominal cavity, abdominal esophagus, abdominal port placement, adequate esophageal length, AF, anterior esophageal wall, anterior gastropexy, anterior stitch, anterior vagus nerve, anteriorly, aortic arch, approximated, assessment of esophageal extensive mobilization, assistant, benefits of MIS, biological mesh, bleeding, bronchial branches, bronchus, buttress, camera, cephalad, challenging, chest, chest tube, circumferentially, clamped, clearly visible, complete release of the nerve, completely exposed, completely mobilized, complex incisional hernias, concurrent repair, contralateral pleura, conversion laparotomy, conversion thoracotomy, created, crural dissection, cruroplasty, CT, diaphragm, diaphragmatic attachments, diaphragmatic hiatus, diaphragmatic repair, dissection of the hernia sac, dissection of the hernia sac aortic side, dissection of the hernia sac diaphragmatic side, dissection of the hernia sac–pericardial side, divide, division of inferior pulmonary ligament, division of the short gastric vessels, early results, easily reduced, epigastric incision, esophageal lengthening procedure, esophageal lengthening procedures, esophageal mobilization, excised, excision of hernia sac, extensive crural dissection, extensive intrathoracic esophageal dissection, extensive thoracic dissection, females, fibrin glue, fundus of the stomach, gastric fixation, gastropexy, GEJ, giant type IV PEH, greatly facilitates, hernia recurrence, hernia reduction from the ABD, identified, inferior pulmonary vein, inflated with CO2, injury, interrupted non-absorbable sutures, intra-abdominal esophageal length, laparoscopic approach, laparoscopic phase of the procedure, laparoscopic trocars, limited access, LOS, lung, lung isolation, main PA, maneuver, medially, mediastinal structures, mesh, morbidity, mounted liver retractor, Nathansons liver retractor, Nissan Fundoplication confectioning, onlay fashion, opened at the junction, operator side, optimal fundoplication, paraesophageal hernia repair, passed, pathology, PE, penrose drain, pericardium, perioperative deaths, pillars of diaphragmatic crus, planned laparotomy, pneumoperitoneum, posterior crural closure, posterior vagus nerve, posterior window, posteriorly, preserve, proximal mediastinum, pt demographics, pts right side, recurrent PEH, reinflated, remnants of the hernia sac, removal of the hernia sac, results, retraction, safe, safer, secured, separated, sparing, specimen, standard left VATS approach, steep reverse Trendelenberg, superior edge of the hernia sac, superiorly, supine, technique, thoracic aorta, thoracic aotery, thoracic exploration, thoracic portion of the procedure, transfusion, type III, type IV, vagus nerve release, VATS, verified, wider defects, wrap

928

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Video Uploaded By:
Daniela Molena
Uploaded on
06/04/2015
Video Categories
SAGES 2014 Meeting
Learning Themes
Foregut, Hernia
Sources
2014 Annual Meeting
Presentation Types
Procedure
Video Authors
Lidor A, Molena D, Mungo B, Stern M
Video Institutions
Johns Hopkins University--Baltimore MD

SAGES TV Navigation

  • SAGES TV Home
  • Donate Your Video to SAGES.TV
  • My Videos

Search SAGES.TV

Quick Searches:

All "How-To" Videos

All Keynote Addresses

All Webinars

Video Atlas of Endoscopy

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons