Posterior Rectus Sheath Hiatal Flap Augmentation (PORSHA) exhibits promise as a surgical innovation for large and recurrent paraesophageal hernias. In a study of 27 cases, PORSHA, after technical modifications, demonstrated safety and success in repairing type III, IV, and recurrent paraesophageal hernias. At an 11-month follow-up, there were no radiologic recurrences, abdominal eventrations, or hernias at the donor site, with only one patient experiencing occasional solid food dysphagia, resolving with dilation.
Journal Article by Vigneswaran Y, Hussain M (…) Alverdy JC et 3 al. in Ann Surg
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