Laparoscopic repair of paraesophageal hernia with selective use of mesh

Andrei Keidar, Amir Szold

    Research output: Contribution to journalArticlepeer-review

    51 Scopus citations


    The laparoscopic approach to PEH, in use for close to a decade, shows promising results. However, data on the long-term follow-up of patients who undergo this procedure are still lacking, and the use of mesh is debatable. We retrospectively investigated 33 patients who underwent this procedure over a 30-month period. In 10 patients, the repair was performed using a mesh prosthesis. There was one (3%) intraoperative and four (12%) early postoperative complications, with one mortality (3%). The average postoperative stay was 3 days. During a 58-month follow-up period, 18% of the patients developed small, sliding recurrent hernias, with a higher rate in the primary repair group (18% vs. 10%). Surgical outcome was scored good-to-excellent on a questionnaire by 84.5% of the patients. Laparoscopic repair of PEH is feasible and safe. While small recurrences do occur, functional results remain good. The use of mesh should be tailored to the specific patient.

    Original languageEnglish
    Pages (from-to)149-154
    Number of pages6
    JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
    Issue number3
    StatePublished - 1 Jun 2003


    • Laparoscopy
    • Mesh
    • Paraesophageal hemia

    ASJC Scopus subject areas

    • Surgery


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