TY - JOUR T1 - Laparoscopic mesh repair of parahiatal hernia: a case report. AU - Lew,Pei Shi, AU - Wong,Andrew Siang Yih, PY - 2013/03/03/received PY - 2013/04/03/accepted PY - 2013/7/25/entrez PY - 2013/7/25/pubmed PY - 2014/3/29/medline KW - Composite mesh KW - laparoscopic repair KW - parahiatal hernia SP - 231 EP - 3 JF - Asian journal of endoscopic surgery JO - Asian J Endosc Surg VL - 6 IS - 3 N2 - We report a case of a primary parahiatal hernia that was repaired laparoscopically with a composite mesh. A 51-year-old woman presented with vomiting and epigastric pain. CT scan showed a giant paraesophageal hernia with intrathoracic gastric volvulus. Intraoperatively, a diaphragmatic muscular defect was found lateral to an attenuated left crus of the diaphragm, distinct from the normal esophageal hiatus. The defect ring was fibrotic, making a tension-free primary repair difficult. A laparoscopic mesh repair was performed with a composite mesh, which was covered with the hernia sac to prevent potential erosion into the esophagus or stomach. Recovery was uneventful and the patient was discharged on the 5 days postoperatively. She remained asymptomatic at subsequent follow-up. Laparoscopic repair of parahiatal hernia can be safely performed. In circumstances where a large or fibrotic defect prevents a tension-free primary repair, the use of a composite mesh can provide effective repair of the hernia. SN - 1758-5910 UR - https://www.unboundmedicine.com/medline/citation/23879418/Laparoscopic_mesh_repair_of_parahiatal_hernia:_a_case_report_ L2 - https://doi.org/10.1111/ases.12039 DB - PRIME DP - Unbound Medicine ER -