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

## TL;DR

This paper discusses a rare case of a large recurrent hiatal hernia successfully treated with robotic surgery in a 63-year-old woman.

## Contribution

The novelty lies in the successful application of robotic-assisted revisional surgery for a complex, recurrent paraesophageal hernia.

## Key findings

- A 63-year-old patient had a large recurrent paraesophageal hernia confirmed via imaging.
- Robotic-assisted surgery was successfully used for revisional treatment.
- The case highlights the rarity and management challenges of recurrent hiatal hernias.

## 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.