Paraesophageal Hernia Repair

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The human anatomy is designed such that the stomach should not enter the chest.  But this is not the case for patients who have a paraesophageal hernia, where literally the stomach has pushed through the diaphragm and moved into the chest cavity

Get an intimate look inside the abdomen and chest wall when Adrian Park, MD, Professor & Vice Chair, Department of Surgery at the University of Maryland School of Medicine and Head, Division of General Surgery at the University of Maryland Medical Center, laparoscopically repairs this type of hernia.  Watch as Dr. Park meticulously and methodically closes the diaphragm and then tacts the stomach to the esophagus to help ensure that the structures stay in the right place.

The paraesophageal hernia is a rare form of hernia, and typically takes many years to develop.  A firm cause is not known.  It can be linked to obesity and genetics. Symptoms vary, and patients can experience everything from belching to reflux to nausea from eating.  When patients have severe symptoms and cannot eat, surgical intervention is needed.

According to Dr. Park, there are four different types of hiatal hernias, including: a sliding hiatal hernia, a paraesophageal hiatal hernia, combined sliding and paraesophageal hiatal hernia, and a complex paraesophageal hiatal hernia, where what should be in the abdomen, like the bowel or liver, is in the chest.  This webcast profiles Type 3, a combined sliding and paraesophageal hiatal hernias.



Adrian Park

Adrian Park, MD, FACS, FRSC