TY - CHAP M1 - Book, Section TI - Paraesophageal Hernia Repair A1 - Blatnik, Jeffrey A. A1 - Brunt, L. Michael A2 - Zinner, Michael J. A2 - Ashley, Stanley W. A2 - Hines, O. Joe PY - 2019 T2 - Maingot's Abdominal Operations, 13e AB - Paraesophageal hernias comprise approximately 5% to 15% of all hiatal hernias and are challenging hernias to repair. Most commonly, these occur in patients age >50 to 60 years. The natural history of paraesophageal hernia repair has not been systematically studied, but, in general, many patients present with a longstanding history of hiatal hernia. Therefore, it’s likely that these progressively enlarge over time. While they can be asymptomatic, some patients present with acute gastric outlet obstruction and/or gastric ischemia that requires emergency surgical intervention. In this chapter, the clinical presentation, diagnostic evaluation, and surgical technical aspects and resultant outcomes of paraesophageal hernia repair will be presented. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=1160039730 ER -