Laparoscopic treatment of a recurrent hiatal hernia with mesh reinforcement of the crura
Epublication WebSurg.com, Jan 2006;06(01). URL: http://websurg.com/doi/vd01en1882
This video demonstrates a complex case of recurrent hiatal hernia in a patient with previous open repair. The surgeon demonstrates safe mediastinal mobilization of the esophagus and the stomach and full reduction of hernia sac and contents. Due to the size of diaphragmatic defect, the crural repair is reinforced with a piece of composite mesh. No fundoplication is carried out. This video is a good demonstration of approach to revisional hiatal hernia surgery and is suitable for surgeons with experience in laparoscopic fundoplication who are now considering revisional surgery.