“Laparoscopic paraesophageal hernia repair is a complex surgical problem with many variables that can affect the outcome. Based on the results of our carefully selected patients, the addition of a fundoplication minimizes postoperative reflux symptoms without additional operative time. In addition, neither dysphagia nor paraesophageal hernia recurrence is affected by the presence of a fundoplication.”

“Paraesophageal hernias (PEHs) encompass a range of defects in the diaphragmatic hiatus that can have significant clinical sequelae. Paraesophageal hernias account for roughly 5 per cent of all hiatal hernias, but as a result of their associated anatomic disruption, medical therapy is inadequate for its treatment. As such, much attention has been devoted to
find the best possible surgical repair.”

van der Westhuizen L, et al . The need for fundoplication at the time of laparoscopic paraesophageal hernia repair. Am Surg. 2013 Jun;79(6):572-7. Full Text for Emory Users