Post-oesophagectomy hiatal hernia

This video tutorial presents the laparoscopic repair of a post-oesophagectomy hiatal hernia in a 69-year-old patient who had an oesophagectomy 5 years previously for distal oesophageal cancer. He presented acutely with epigastric pain, nausea and hiccups. During the operation, the herniated small bowel was reduced and found to be viable. The defect was sealed by suturing the conduit to the diaphragm. At a follow-up examination 23 months after the repair, the patient is asymptomatic and there is no evidence of recurrence.