Repair of Para-conduit Hernia

Abstract

Para-conduit herniation is a rare and challenging complication following esophagectomy. While many para-conduit hernias are noted incidentally on postoperative surveillance imaging, they can occasionally present with severe symptoms. We recommend surgical treatment in both symptomatic and asymptomatic patients. The majority of these hernias can be approached laparoscopically. For large defects, mesh is typically required to create a tension-free repair, but several other strategies may also be employed. Para-conduit herniation is a rare and challenging complication following esophagectomy. While many para-conduit hernias are noted incidentally on postoperative surveillance imaging, they can occasionally present with severe symptoms. We recommend surgical treatment in both symptomatic and asymptomatic patients. The majority of these hernias can be approached laparoscopically. For large defects, mesh is typically required to create a tension-free repair, but several other strategies may also be employed.