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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, METHODS, RESULTS. Meshes: Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Fundoplication, Gastroesophageal Reflux, Hernia, Hiatal, Humans, Laparoscopy, Male, Middle Aged, Postoperative Complications, Recurrence, Reoperation.
user
Are laparoscopic treatment of large paraesophageal hernias : both excision of the sac and gastropexy imperative for adequate surgical treatment? Context: We set out to evaluate the results of the laparoscopic treatment of large paraesophageal hernias in 22 patients. Between 1993 and 1998, we operated on 22 consecutive patients. Preoperative assessment consisted of endoscopy, barium esophagogram, 24-h pH testing, manometry, and gastric emptying times. In the first three patients, the sac was not excised and gastropexy was not performed. Because of recurrences, we decided to change the technique in an attempt to avoid further complications. During middle- to long-term follow-up, only three recurrences were seen in the subsequent 19 patients. There were no deaths in this series.
assistant
Laparoscopic treatment of large paraesophageal hernias is feasible. Because recurrences may occur after successful laparoscopic treatment, both resection of the sac and some form of gastropexy are imperative. Final Decision: yes