Laparoscopic Management of Giant Paraesophageal Hernia: Case Report and Review

Abstract

There are 4 types of hiatal hernia, being type IV the rarest of all. The management today remains controversial about the ideal approach (abdominal, thoracic, mixed approach, laparoscopic or open surgery), the use or not of mesh, what type of fundoplication (anterior, posterior, total or parcial). We will present a giant paraesophageal hernia with gastric herniation and transverse colon resolved by laparoscopy, in an emergency surgery.