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Objective: To present our technique of laparoscopic repair of giant para-oesophageal hernia with biological prosthesis (porcine dermis). Method: Our technique involves creating a pneumoperitoneum with standard port placement for anti-reflux surgery, mediastinal sac dissection and excision, crura-plasty, tension free placement of the biological prosthesis for hiatal reinforcement, fundoplication and gastropexy. Conclusion: Our technique of laparoscopic repair of giant para-oesophageal hernia with biological mesh is feasible and safe with acceptable morbidity and outcome.

Type III/Type IV Giant Para-Oesophageal Herniae: Our Technique of Gastropexy with Biological Prosthesis