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Laparoscopic treatment of giant hiatal hernia with standard crural repair

Epublication WebSurg.com, Apr 2007;07(04). URL: http://websurg.com/doi/vd01en2101

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  • 2007-04-16
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This video demonstrates the key steps of the procedure for laparoscopic repair of a giant hiatal hernia. The patient is an 84-year-old woman with a long history of hiatal hernia. The patient was symptom-free until a few days before the intervention when the patient developed severe acute dysphagia, chest pain and dyspnea. Controversies exist regarding the type of crural repair that has to be performed in this type III hiatal hernia. We chose a standard crural repair with sutures based on the macroscopic aspect of the crura.