Abstract
Recurrent paraesophageal hernia repair is challenging both for the surgeon and the patient, both from a surgical and a recovery standpoint. From adhesions to fusing of organs with complete obliteration of planes between the crus/mesh, hernia sac, esophagus, and gastric wall, often the anatomy is extremely distorted. Surgery requires meticulous dissection to avoid an iatrogenic injury and careful evaluation of final repair to avoid yet another recurrence. Herein, we present our technique of a redo paraesophageal hernia repair and some pitfalls associated with it.
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