Effect of Hernia Sac Excision on Crural Tension in Paraesophageal Hernia Repair

Effect of Hernia Sac Excision on Crural Tension in Paraesophageal Hernia Repair

Paraesophageal hernia can cause significant clinical symptoms, including reflux, chest pain, nausea, regurgitation, and even life threatening conditions such as bowel obstruction, and gastric volvulus. Repair of a paraesophageal hernia is associated with significant recurrence rate, with primary repair often in excess of 50%. Hernia recurrence and revisional surgery significantly increase the likelihood of complications and decreased quality of life.

Inclusion Criteria:

• All patients age 18-80 undergoing elective or emergent paraesophageal hernia repair for symptomatic paraesophageal hernia will be eligible for enrollment into the study.

Exclusion Criteria:

• Patients with previous history of esophageal, gastric, diaphragmatic, or anti-reflux surgery will be excluded.