LAPAROSCOPIC REPAIR OF A COMBINED PARAHIATAL AND HIATAL HERNIA WITH MESH AND MAGNETIC SPHINCTER AUGMENTATION
Daniel A. Barrera*1, Ahmed M. Zihni2, Ashwin A. Kurian2
1Centura Health St. Anthony Hospital, Denver, CO; 2SurgOne Foregut Institute, Denver, CO
Parahiatal hernia is an extremely rare condition and therefore infrequently seen in the literature. A handful of case studies exist but none have reported on the concurrent use of an antireflux procedure before. This hernia arises either congenitally from incomplete obliteration of the pleuroperitoneal canal, or more commonly acquired after excessive crural manipulation during esophagectomy and antireflux surgery. We present a laparoscopic approach to repairing this rare hernia along with concurrent repair of a hiatal hernia and placement of a magnetic sphincter augmentation device in a 55-year-old male with long-standing reflux and acute on chronic abdominal pain, nausea and vomiting.
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