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Lee L. Swanstrom, MD

Arch Surg. 1997;132(6):591.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Dr Perdikis and his coauthors have presented a large series of laparoscopic paraesophageal hernia (PEH) repairs with excellent results, including an average operative time of only 2 hours! These results should be taken as a measure of this group's operative experience rather than as a gauge of this procedure's difficulty. Laparoscopic PEH repairs (or open PEH repair for that matter) are very difficult procedures. Even considering this group's expertise, they describe a greater morbidity for PEH repair with operative complications of 14%, a 3% conversion rate, and 20% of patients having postoperative problems requiring treatment (4% requiring a second operation, 6% requiring esophageal dilatation for dysphagia, 4% with reflux, and 6% with other complications). This is particularly remarkable when compared with the same group's results with elective antireflux surgery (3% conversion rate, 4% operative complications, and a 1.5% rate of postoperative failure requiring treatment)¹ The increase in morbidity and . . . [Full Text PDF of this Article]

Author Affiliations
Legacy Portland Hospital Portland, Ore

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