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Laparoscopic Paraesophageal Hernia Repair
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2013The last 2 decades have witnessed a revolution in the treatment of patients with paraesophageal hernia (PEH). Nowadays, the laparoscopic repair with fundoplication is considered as the primary treatment modality in most academic centers for symptomatic patients. Three findings have clearly emerged: (1) this procedure is technically demanding; (2) it is
ALLAIX, Marco Ettore, Patti, Marco G.
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Current Treatment Options in Gastroenterology, 2001
The definitive management of paraesophageal hernia is surgical repair. The current standard of care is the laparoscopic paraesophageal hernia repair in patients who are medically fit for general anesthesia and operation. When patients are considered for operative repair, they should undergo diagnostic testing, including upper endoscopy, upper ...
Valerie J., Halpin, Nathaniel J., Soper
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The definitive management of paraesophageal hernia is surgical repair. The current standard of care is the laparoscopic paraesophageal hernia repair in patients who are medically fit for general anesthesia and operation. When patients are considered for operative repair, they should undergo diagnostic testing, including upper endoscopy, upper ...
Valerie J., Halpin, Nathaniel J., Soper
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Surgical Clinics of North America, 2015
The treatment of PEHs is challenging. They tend to occur in patients in their 60s and 70s with multiple medical problems and a variety of associated symptoms. Detailed preoperative evaluation is crucial to determining a safe and effective strategy for repair in the operating room.
Dmitry, Oleynikov, Jennifer M, Jolley
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The treatment of PEHs is challenging. They tend to occur in patients in their 60s and 70s with multiple medical problems and a variety of associated symptoms. Detailed preoperative evaluation is crucial to determining a safe and effective strategy for repair in the operating room.
Dmitry, Oleynikov, Jennifer M, Jolley
openaire +2 more sources
Annals of Surgery, 2023
Objective: The aim of this study was to perform an updated Markov analysis to determine the optimal management strategy for patients with an asymptomatic paraesophageal hernia (PEH): elective laparoscopic hernia repair (ELHR) versus watchful waiting (WW).
MD Steven R. DeMeester +4 more
semanticscholar +1 more source
Objective: The aim of this study was to perform an updated Markov analysis to determine the optimal management strategy for patients with an asymptomatic paraesophageal hernia (PEH): elective laparoscopic hernia repair (ELHR) versus watchful waiting (WW).
MD Steven R. DeMeester +4 more
semanticscholar +1 more source
Platelet-Rich Plasma in Large Paraesophageal Hernia Repair: A Feasibility Study
Foregut: The Journal of the American Foregut Society, 2023Background: The Achilles heel of antireflux surgery is hiatal hernia recurrence, and no treatment modalities to date have improved this outcome. Platelet-rich plasma (PRP) is an autologous therapy that promotes wound healing by upregulating extracellular
Tayler J. James +6 more
semanticscholar +1 more source
Archives of Surgery, 1986
Fifty-five operations for paraesophageal hiatus hernia were performed at the Lahey Clinic, Burlington, Mass, between January 1970 and October 1985. Pain was present in 35 of 51 patients. Other less common symptoms were anemia and vomiting. Reflux symptoms were rare. Esophageal manometry disclosed a mean lower esophageal sphincter pressure of 18.2 mm Hg
F H, Ellis, R E, Crozier, J A, Shea
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Fifty-five operations for paraesophageal hiatus hernia were performed at the Lahey Clinic, Burlington, Mass, between January 1970 and October 1985. Pain was present in 35 of 51 patients. Other less common symptoms were anemia and vomiting. Reflux symptoms were rare. Esophageal manometry disclosed a mean lower esophageal sphincter pressure of 18.2 mm Hg
F H, Ellis, R E, Crozier, J A, Shea
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Urgent Paraesophageal Hernia: Can We Do Better?
Journal of laparoendoscopic & advanced surgical techniques. Part A, 2023Introduction: Paraesophageal hernia (PEH) is a relatively common pathology in the Western population. It may be asymptomatic, but ∼50% of patients with PEH have symptoms that may mimic gastrointestinal, respiratory, and cardiac pathology.
Y. Hershkovitz +3 more
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Incarcerated paraesophageal hernia
The American Journal of Emergency Medicine, 1990The case of an 80-year-old woman with an incarcerated paraesophageal hernia is presented. Among diaphragmatic hernias, the paraesophageal or type II hernia occurs with an incidence of 5%, sliding or type I hernia occurs with an incidence of 95%. Incarcerated paraesophageal hernia is a surgical emergency requiring rapid decompression and reduction to ...
D B, Dunn, G, Quick
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Laparoscopic Paraesophageal Hernia Repair
Surgical Innovation, 2001The term paraesophageal hernia is described as a herniation of the gastric fundus through the open hiatus into the thoracic cavity while the lower esophageal sphincter (LES) remains in its normal anatomic position. This is considered a rolling esophageal hernia (Type II), and it is the least commonly encountered hiatal hernia.
M E, Freeman, R A, Hinder
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