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Laparoscopic repair of paraesophageal hernia requires cautious enthusiasm.
Int J Surg. 2008 Oct; 6(5):404-8.IJ

Abstract

The article tries to address the dilemma confronting the repair of paraesophageal hernia (PEH). The case has been made for repair upon diagnosis. The initial results of laparoscopic repair were projected as successful. However, recurrence and reflux have plagued many studies. Whereas adjunct fundoplication is now consistently performed by most surgeons, the basis is uncertain. Recurrence rate is often higher than that reported if only the 'imaged' follow-up patients are considered. Esophageal lengthening is believed to potentially benefit both the hallmark complications. The worldwide experience with laparoscopic esophageal lengthening is scanty (although it was not uncommon in the days of open surgery). Compared to the open repair, the laparoscopic method has a higher recurrence rate, higher major specific complication rate, comparable symptom outcome and a shorter hospital stay.

Authors+Show Affiliations

Department of Surgery, Antrim Area Hospital, Antrim, North Ireland, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18835544

Citation

Rathore, Munir A., et al. "Laparoscopic Repair of Paraesophageal Hernia Requires Cautious Enthusiasm." International Journal of Surgery (London, England), vol. 6, no. 5, 2008, pp. 404-8.
Rathore MA, Bhatti MI, Andrabi SI, et al. Laparoscopic repair of paraesophageal hernia requires cautious enthusiasm. Int J Surg. 2008;6(5):404-8.
Rathore, M. A., Bhatti, M. I., Andrabi, S. I., & McMurray, A. H. (2008). Laparoscopic repair of paraesophageal hernia requires cautious enthusiasm. International Journal of Surgery (London, England), 6(5), 404-8. https://doi.org/10.1016/j.ijsu.2008.06.005
Rathore MA, et al. Laparoscopic Repair of Paraesophageal Hernia Requires Cautious Enthusiasm. Int J Surg. 2008;6(5):404-8. PubMed PMID: 18835544.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic repair of paraesophageal hernia requires cautious enthusiasm. AU - Rathore,Munir A, AU - Bhatti,Muhammad I, AU - Andrabi,Syed I H, AU - McMurray,Arthur H, Y1 - 2008/06/27/ PY - 2008/05/21/received PY - 2008/06/20/accepted PY - 2008/10/7/pubmed PY - 2009/2/12/medline PY - 2008/10/7/entrez SP - 404 EP - 8 JF - International journal of surgery (London, England) JO - Int J Surg VL - 6 IS - 5 N2 - The article tries to address the dilemma confronting the repair of paraesophageal hernia (PEH). The case has been made for repair upon diagnosis. The initial results of laparoscopic repair were projected as successful. However, recurrence and reflux have plagued many studies. Whereas adjunct fundoplication is now consistently performed by most surgeons, the basis is uncertain. Recurrence rate is often higher than that reported if only the 'imaged' follow-up patients are considered. Esophageal lengthening is believed to potentially benefit both the hallmark complications. The worldwide experience with laparoscopic esophageal lengthening is scanty (although it was not uncommon in the days of open surgery). Compared to the open repair, the laparoscopic method has a higher recurrence rate, higher major specific complication rate, comparable symptom outcome and a shorter hospital stay. SN - 1743-9159 UR - https://www.unboundmedicine.com/medline/citation/18835544/Laparoscopic_repair_of_paraesophageal_hernia_requires_cautious_enthusiasm_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-9191(08)00087-3 DB - PRIME DP - Unbound Medicine ER -