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Laparoscopic repair of giant paraesophageal hernia. Buenaventura PO, Schauer PR, Keenan RJ, Luketich JD. Giant paraesophageal hernias (PEHs) account for less than 5% of all hiatal hernias. In contrast to the small type I hiatal hernia, nonsurgical management of giant PEHs may be associated with progression of symptoms and life-threatening complications including hemorrhage, strangulation, and death. Most giant PEHs are associated with a current or previous history of gastroesophageal reflux disease and represent progression of the typical type I hernia to a type III hernia. Conventional open repair is associated with good results and low mortality but also with a significant morbidity and a delay in return to routine activities in this frequently elderly population. Recently, short-term outcome studies have reported that minimally invasive approaches to PEH may be associated with less morbidity, shorter hospital stay, faster recovery, and excellent clinical results. Back to New Publications HOME | WHAT'S NEW | PROGRAMS & SERVICES | PHYSICIAN NEWSLETTER RELATED SITES | DOCTORS Search | Visit the Library | Visitors | E-mail Comments |