Fundoplication, Hiatal Hernia Repair and Esophageal Dysmotility

Fundoplication, Hiatal Hernia Repair and Esophageal Dysmotility

Natalie from Houston sent us this question: Do you recommend fundoplication in a patient with severe esophageal dysmotility and a paraesophageal hiatal hernia? Or is repairing the hernia the best that can be done? Dear Natalie, Your question is common and quite relevant. Why add a fundoplication...

Hiatal Hernia Repair Improves Quality of Life

Hiatal Hernia Repair Improves Quality of Life

I read with great interest the new study “Patient-Centered Outcomes after Laparoscopic Paraesophageal Hernia Repair” by Ujiki et al published in the current issue of JACS (Journal of the American College of Surgeons). 314 patients who underwent laparoscopic hiatal hernia repair were prospectively followed between...

Revision Hiatal Hernia Surgery

Hiatal hernia surgery requires complete phrenoesophageal membrane dissection and proper esophageal mobilization. The phrenoesophageal membrane and hernia sac must be dissected and completely resected to allow for circumferential esophageal mobilization. The esophagus must be dissected free of mediastinal adhesions until obtaining at least 3 cm...

Biologic Mesh Use in Hiatal Hernia Repair

The diaphragmatic hiatus is a dynamic structure. It contracts and relaxes with every breath you take and dilates with every swallow. Supporting this moving structure is a thin layer of fibrous tissue called the phreno-esophageal membrane, PEM. PEM is an extension of both the endo-thoracic...

What is a Hiatal Hernia?

Hiatus means gap in Latin. The hiatus is the gap or opening in the diaphragm (breathing muscle) through which the food pipe (esophagus) passes from the chest into the abdomen. The hiatus is normally wide enough to allow food going through the esophagus to pass...