The Fundoplication Revision of a Recurrent Large Paraesophageal Hiatal Hernia in a 63-Year-Old Female.

Abstract

Paraesophageal hiatal hernias present significant clinical challenges due to their potential for incarceration and strangulation. The high risk of recurrence can also pose difficulties in management. We report a case of a 63-year-old Caucasian female with a history of recurrent paraesophageal hiatal hernia, initially diagnosed after a gastric incarceration event in 2014. Ten years later, imaging confirmed the recurrence of a large paraesophageal hernia containing the upper stomach. This report underscores the complexity of managing paraesophageal hiatal hernias, particularly recurrence following prior surgical interventions. It highlights the successful use of robotic-assisted revisional surgery in a complex case of recurrent paraesophageal hernia, thereby emphasizing both the rarity of the pathology and the value of advanced surgical approaches in managing challenging recurrences.