To assess the safety and effectiveness of deliberate pleurotomy in large hiatal hernia repair.
Conducted a case series analysis
Incorporated capnothorax through pleurotomy
Performed surgical repair of large hiatal hernias over five years
Pleurotomy safely reduced crural tension during repair
Improved outcomes in tension-free crural repairs
Five-year follow-up indicated sustained benefits
Abstract
Deliberate left pleurotomy to create capnothorax can be safely incorporated in the surgical technique of LHH repair to reduce crural tension for a tension-free crural repair.