Abstract
The operative challenges presented by large hiatal defects require that surgeons have an expansive armamentarium of tools with which to approach the crural closure. When crural closure cannot be achieved primarily, our experience suggests that use of diaphragm relaxing incisions can facilitate primary crural closure, contributing to decreasing the risk of recurrence following hiatal or paraesophageal hernia repair. Here, we present our method for identifying patients who would benefit from a diaphragm relaxing incision, as well as the technique for performing both a right and left diaphragm relaxing incision.
Get full access to this article
View all access options for this article.
References
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
