ReviewHernia : the journal of hernias and abdominal wall surgery2018
Treatment of giant paraesophageal hernia: pro laparoscopic approach.
Review in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
23 citing papers in PubMed, 60 citations in OpenAlex.
- Article
- Robotic Approach to Right-Sided Hiatal Hernia Involving the Ascending and Transverse Colon, Duodenum, and Distal Stomach: A Case Report.Surgical case reports · 2026Article
- Giant Paraesophageal Hernia Presenting With Dyspnea: A Case Report With Surgical Considerations.Cureus · 2025Article
- Voluminous hiatal hernias - the role of robotic surgery.Innovative surgical sciences · 2025Review
- Robotic surgery for giant paraesophageal hernias: a promising approach to improved outcomes.Journal of robotic surgery · 2025Article
- Impact of laparoscopic repair on type III/IV giant paraesophageal hernias: a single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Surgical Repair of Large Hiatal Hernias: Insight from a High-Volume Center.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Antireflux Surgery's Lifespan: 20 Years After Laparoscopic Fundoplication.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Emergency surgery for hiatus hernias: does technique affect outcomes? A single-centre experience.Updates in surgery · 2023Observational
- Minimally Invasive Abdominal Repair of a Giant Paraesophageal Hiatal Hernia with Occupation of the Right Thorax in a 53-Year-Old Man.Case reports in surgery · 2022Article
- Preoperative calculation of angles of vision and working area in laparoscopic surgery to treat a giant hiatal hernia.World journal of gastrointestinal surgery · 2021Article
- The use of biosynthetic mesh in giant hiatal hernia repair: is there a rationale? A 3-year single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Reversal of unstable atrial fibrillation after surgical correction of hiatus hernia: A case report.International journal of surgery case reports · 2021Article
- How high is too high? Extensive mediastinal dissection in patients with hiatal hernia repair.Surgical endoscopy · 2021Article
- Minimally invasive approach to hiatal hernia repair is superior to open, even in the emergent setting: a large national database analysis.Surgical endoscopy · 2021Article
- Laparoscopic anti-reflux procedures with hepatic shoulder technique in the surgical management of large hiatal hernias and paraesophageal hernias: a follow-up study.Surgical endoscopy · 2020Article
- Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review.World journal of emergency surgery : WJES · 2020Review
- Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?BMC surgery · 2020Observational
- The management of hiatal hernia: an update on diagnosis and treatment.Medicine and pharmacy reports · 2019Review
- Predictors of Hiatal Hernia Recurrence After Laparoscopic Anti-reflux Surgery with Hiatal Hernia Repair: a Prospective Database Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGiant paraesophageal hernias (GPEH) are relatively uncommon and account for less than 5% of all primary hiatal hernias. Giant Secondary GPEH can be observed after surgery involving hiatal orifice opening, such as esophagectomy, antireflux surgery, and hiatal hernia repair. Surgical treatment is challenging, and there are still residual controversies regarding the laparoscopic approach, even though a reduced morbidity and mortality, as well as a shorter hospital stay have been demonstrated.
methodsA Pubmed electronic search of the literature including articles published between 1992 and 2016 was conducted using the following key words: hiatal hernia, paraesophageal hernias, mesh, laparoscopy, intrathoracic stomach, gastric volvulus, diaphragmatic hernia.
resultsGiven the risks of non-operative management, GPEH surgical repair is indicated in symptomatic patients. Technical steps for primary hernia repair include hernia reduction and sac excision, correct repositioning of the gastroesophageal junction, crural repair, and fundoplication. For secondary hernias, the surgical technique varies according to hernia type and components and according to the approach used during the first surgery. There is an ongoing debate regarding the best and safest method to close the hiatal orifice. The laparoscopic approach has demonstrated a lower postoperative morbidity and mortality, and a shorter hospital stay as compared to the open approach. A high recurrence rate has been reported for primary GPEH repair. However, recent studies suggest that recurrence does not reduce symptomatic outcomes.
conclusionsThe laparoscopic treatment of primary and secondary GPEH is safe and feasible in elective and emergency settings, especially in high-volume centers. The procedure is still challenging. The main steps are well defined. However, there is still room for improvement to lower the recurrence rate.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.