Laparoscopic mesh repair of parahiatal hernia: a case report.
Asian J Endosc Surg. 2013 Aug; 6(3):231-3.AJ

Abstract

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.

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Authors+Show Affiliations

Lew PS
Department of Surgery, Changi General Hospital, 2 Simei Street #3, Singapore.
Wong AS
No affiliation info available

MeSH

FemaleHernia, HiatalHumansLaparoscopyMiddle AgedStomach VolvulusSurgical Mesh

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23879418