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Laparoscopic Redo Paraesophageal Hernia Repair With Collis Gastroplasty for Shortened Esophagus
Rachel Jones*, Carl Tadaki, Dmitry Oleynikov
University of Nebraska Medical Center, Omaha, NE

Esophageal shortening can be seen in patients with chronic inflammation associated with gastroesophageal reflux disease (GERD) and paraesophageal hernias. During surgical treatment of these conditions it is important to address the esophageal shortening during the operation for optimal outcomes. Ideally, 2.5 to 3 cm of tension free intraabdominal esophagus is recommended. During this video we show a redo paraesophageal hernia repair in which we were unable to achieve adequate esophageal lengthening despite extensive mediastinal dissection. We therefore proceeded with Collis gastroplasty with Toupet fundoplication.


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