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Paraesophageal hernia repair with temporary diaphragmatic reinforcement

B Dallemagne, MD S Perretta, MD, PhD D Ntourakis, MD, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Apr 2014;14(04). URL: http://websurg.com/doi/vd01en4177

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  • 2014-04-04
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Paraesophageal hernia (PEH) repair is challenging. Repositioning of the herniated stomach, and occasionally other organs, must also include reduction of the hernia sac in order to diminish the risk of recurrence. Recurrence is also linked to the type of crural repair performed, some authors advocating the systematic use of prosthetic or biological reinforcement. Reinforcement is not without risks (stenosis, erosion, migration). In this video, we present a PEH repair and cruroplasty protected with a temporary absorbable reinforcement material.