Background

This video demonstrates the diagnosis and treatment of a para hiatal hernia discovered at the time of sleeve gastrectomy. The patient is a 42 year old female undergoing a sleeve gastrectomy. She had a previous endoscopy that showed a small hiatal hernia. She had mild GERD. She was found intraoperatively ot have a para hiatal defect. The video demonstrates the technique of repair as well as mesh reinforcement.