Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Paraesophageal hiatal hernias present significant clinical challenges due to their potential for incarceration and strangulation. The high risk of recurrence can also pose difficulties in management. We report a case of a 63-year-old Caucasian female with a history of recurrent paraesophageal hiatal hernia, initially diagnosed after a gastric incarceration event in 2014. Ten years later, imaging confirmed the recurrence of a large paraesophageal hernia containing the upper stomach. This report underscores the complexity of managing paraesophageal hiatal hernias, particularly recurrence following prior surgical interventions. It highlights the successful use of robotic-assisted revisional surgery in a complex case of recurrent paraesophageal hernia, thereby emphasizing both the rarity of the pathology and the value of advanced surgical approaches in managing challenging recurrences.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312999 | PMC |
| http://dx.doi.org/10.7759/cureus.87119 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Improved outcomes with robotic-assisted laparoscopic paraesophageal hernia repairs compared with laparoscopic and transthoracic approaches: A single high-volume institution experience.
JTCVS Open
August 2025
Section of Thoracic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich.
Objectives: Laparoscopic (lap) paraesophageal hernia repair has excellent short-term outcomes but higher long-term recurrence rates compared with the transthoracic repair. We hypothesized that the robotic-assisted lap (robot) approach would have similarly good short-term outcomes as lap, but also lower recurrence rates.
Methods: A retrospective study of prospectively collected data was performed for paraesophageal hernia repairs at a single high-volume quaternary hospital from July 2018 to September 2022.
An alternative approach to repair of giant paraesophageal hernia in selected patients with minimal history of reflux: Analysis of outcomes in more than 100 patients.
JTCVS Open
August 2025
Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine and the University of Pittsburgh Medical Center, Pittsburgh, Pa.
Objectives: Laparoscopic repair of giant paraesophageal hernia (LGPEHR) is a complex operation and typically includes an antireflux procedure (ARS); however, some patients without a history of reflux may be able to avoid an ARS. The objective of this study was to evaluate an alternative approach for giant paraesophageal hernia (GPEH) repair with restoration of the normal anatomy and an extended gastropexy in selected patients with minimal reflux symptoms.
Methods: Patients who underwent GPEH repair with an extended gastropexy were reviewed retrospectively.
Paraoesophageal hernia causing recurrent dysphagia after Heller myotomy in achalasia.
BMJ Case Rep
August 2025
Surgery, Hospital Italiano de Mendoza, Mendoza, Argentina.
A woman in her 60s with a medical history of achalasia treated by laparoscopic Heller myotomy presented with recurrent dysphagia 10 years postsurgery. This persistent symptom was initially suspected to be due to a rare recurrence of achalasia. However, a large paraoesophageal hernia was unexpectedly found during the upper gastrointestinal series.
View Article and Find Full Text PDFTwo Hernias, One Patient: A Case of Organoaxial Gastric Volvulus in a Paraesophageal Hernia With an Incisional Hernia.
Cureus
July 2025
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND.
A 65-year-old male presented with abdominal pain and swelling persisting for five years. On clinical examination, a 15 cm transverse scar was noted above the umbilicus, along with a reducible incisional hernia. Contrast-enhanced CT of the abdomen revealed an incisional hernia with a single defect at the umbilical and epigastric regions with European Hernia Society classification of M2-3, W3, along with a rolling-type paraesophageal hernia.
View Article and Find Full Text PDFLarge hiatus hernia requiring hiatoplasty - An ongoing challenge: A case series.
J Pediatr Surg
August 2025
Royal Manchester Children's Hospital, Oxford Road, Manchester, M13 9WL, UK.
Aim: Evidence for the management of large hiatus herniae (HH) in children is lacking. Adult literature is conflicting with regard to risk vs. benefit profile of prosthetic mesh use; rates of dysphagia or recurrence are up to 25 % and 38 %, respectively.
View Article and Find Full Text PDF