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Laparoscopic Hiatal Hernia Repair After Minimally-Invasive Ivor-Lewis Esophagectomy
Vladimir P. Daoud^*, Gina Adrales
Minimally-Invasive Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH

This is a 69-year old female with esophageal cancer s/p minimally-invasive Ivor-Lewis esophagectomy and subsequent laparoscopic ventral hernia repair with mesh who presented with post-prandial chest pain. Workup revealed a diaphragmatic hernia containing transverse colon. In the video presented, the gastric conduit is noted to be in the chest, with adhesions to both the left and right crus. There is a defect to the left of the stomach. The crura were dissected. The conduit was mobilized and controlled with a penrose drain. The posterior crural closure was accomplished with pledgeted, non-absorbable suture. The anterolateral diaphragmatic defect was closed with the same.

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