Robotic paraesophageal "Giant" hiatal hernia repair

Abstract

Paraesophageal hiatal hernias are typically type III, the gastroesophageal junction and the viscera are herniated through the esophageal hiatus. Symptomatic patients should be surgically repaired. The asymptomatic patients should be managed on a case-by-case basis. The preoperative evaluation and the details of the operative techniques of performing a robotic paraesophageal hiatal hernia repair are described.