Question

A repair of a paraesophageal hiatal hernia is commonly completed by making a(n) ________-approach incision and then returning the herniated stomach to its correct position.

1) midline
2) transverse
3) oblique
4) vertical

Answer 1

A repair of a paraesophageal hiatal hernia is commonly completed by making a transverse-approach incision and then returning the herniated stomach to its correct position.

Step-by-step explanation:

A repair of a paraesophageal hiatal hernia often involves a transverse-approach incision. Surgeons typically make this incision horizontally across the abdomen, allowing effective exposure of the affected area near the esophagus and diaphragm. This transverse approach provides optimal access for the surgeon to address the paraesophageal hiatal hernia by returning the displaced stomach to its correct position. The choice of a transverse incision minimizes tension on the wound edges, reduces the risk of complications, and facilitates a more straightforward closure. This technique is preferred as it enhances visibility and maneuverability during the surgical procedure, promoting a successful repair and minimizing the likelihood of recurrence. Overall, the transverse incision is a well-established and commonly employed approach in addressing paraesophageal hiatal hernias, contributing to better patient outcomes.