CPT® Code 43336

Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis

A paraesophageal hiatal hernia is a condition where the upper part of the stomach, known as the fundus, protrudes into the chest cavity alongside the esophagus while the gastroesophageal junction remains in its normal position. This type of hernia can lead to various complications, including obstruction or strangulation of the stomach. The repair of a paraesophageal hiatal hernia, specifically through a thoracoabdominal incision, is a surgical procedure that addresses this condition effectively. This approach is particularly indicated for patients who have undergone previous surgeries for diaphragmatic hernias or those with hernias that cannot be reduced manually. The procedure involves a combination of thoracic and abdominal incisions to provide adequate access to the affected areas. During the surgery, the herniated stomach is repositioned back into the abdominal cavity, and if necessary, a fundoplication may be performed to prevent future reflux. This procedure is performed without the use of mesh or other prosthetic materials, distinguishing it from similar procedures that may involve such implants. The careful dissection and repair of the diaphragm and esophagus are critical components of this surgical intervention, ensuring both the immediate correction of the hernia and the long-term stability of the anatomical structures involved.