The treatment of paraesophageal hernias (PEHs) is challenging. They tend to occur in patients in their seventh and eighth decades of life with multiple medical problems and a variety of associated symptoms. Detailed preoperative evaluation is crucial to determining a safe and effective strategy for repair in the operating room. Laparoscopic repair has been shown to be advantageous compared with conventional open repair with regard to hospital stay, recovery time, and decreased complications.1 Although some results indicate that higher recurrence rates occur in laparoscopic PEH repair (LPEHR), the clinical significance of these recurrences has not yet been determined.
Oleynikov D. Outcomes of Paraesophageal Hernia Repair. JAMA Surg. 2015;150(5):431-432. doi:10.1001/jamasurg.2015.39