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Review
. 2019 Nov;29(4):427-436.
doi: 10.1016/j.thorsurg.2019.07.011.

Management of Recurrent Paraesophageal Hernia

Tadeusz D Witek  1 , James D Luketich  2 , Arjun Pennathur  1 , Omar Awais  3
Affiliations
Review

Management of Recurrent Paraesophageal Hernia

Tadeusz D Witek et al. Thorac Surg Clin. 2019 Nov.

Abstract

Recurrent symptomatic paraesophageal hernias (PEHs) can lead to significant morbidity if untreated. Surgical treatment of recurrent PEH can pose a great challenge. Several different surgical options are available and need to be considered on an individual basis. Before embarking on the repair of a recurrent hernia, a thorough work-up needs to be completed. Although recurrent PEHs have traditionally been repaired through an open approach, a minimally invasive approach can be performed by surgeons with extensive experience in minimally invasive esophageal surgery. Repair of recurrent PEH provides excellent patient satisfaction and symptoms resolution. Routine follow-up with surveillance imaging can assist in treating recurrent symptoms.

Keywords: Esophageal surgery; Esophagus; Recurrent paraesophageal hernia; Redo hiatal surgery.

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