Dwarika Hospital — Gastro, Bariatric & Laparoscopic Surgery Center, Ahmedabad +91 88660 20505 info@dravinashtank.in
Dr. Avinash Tank ✔ Dr. Avinash Tank MCh Surgical Gastroenterologist Verified 25+ Yrs 10,000+ Surgeries Book Appointment
Dr. Avinash Tank
Assessment Call WhatsApp
Explore by organ
Liver Esophagus Stomach Gallbladder Colon & Rectum Pancreas
Browse
Home About Contact
View all services →
Endoscopy
GastroscopyColonoscopyEnteroscopyERCPEUS (Endoscopic Ultrasound)Manometry
Laparoscopy
Gallbladder StoneAcidity (Reflux / GERD)AppendixHerniaIncisional HerniaUmbilical Hernia
Weight Loss Treatment
360 Degree Weight LossBariatric SurgerySleeve GastrectomyGastric BypassMinibypassScarless Surgery
Diabetes Reversal
360 Diabetes ReversalMetabolic SurgeryDiabetes Surgery
Cancer
Liver CancerPancreas CancerGallbladder CancerBile Duct CancerEsophagus CancerStomach Cancer
Robotic Surgery
Robotic Bariatric (Weight-Loss) SurgeryRobotic Hernia RepairRobotic Anti-Reflux & Hiatus Hernia SurgeryRobotic Colorectal SurgeryRobotic GI Cancer SurgeryRobotic Gallbladder Surgery
Health LibraryEvidence-based medical education Case LibraryReal patient journeys & outcomes Research & ArticlesDoctor-written research & evidence Patient StoriesVerified patient experiences BooksOfficial books by Dr. Avinash Tank
All Knowledge Centres → Gastro Health Blog News & Updates Conditions A–Z
All locations →
Visiting consultations
Ahmedabad · Main HospitalBhavnagarBhilwara · FrequentBhujHimmatnagarJaipurJamnagarMehsanaPalanpurRajkotSurendranagarUdaipur · FrequentVadodara
Surgery centre
Dwarika Hospital, Ahmedabad
Book Appointment
Call WhatsApp
Surgical Technique

Laparoscopic repair of a large paraesophageal hernia

Laparoscopic repair of a large paraesophageal hernia is built around a few non‑negotiable principles: complete sac reduction, aggressive mediastinal mobilization to obtain ≥2–3 cm tension‑free intra‑abdominal esophagus, meticulous crural reconstruction, and a tailored fundoplication or gastropexy.   Preoperative evaluation and case selection Patients usually present with a mix of reflux and obstructive symptoms (post‑prandial pain, […]

Last updated: December 2025 6 min read Verified by Dr. Tank ★★★★★ Evidence-based
Dr. Avinash Tank
Medically reviewed & authored by Dr. Avinash Tank MBBS · MS (General Surgery) · MCh (Surgical Gastroenterology, SGPGIMS) Liver, GI & HPB Surgeon · Director, Dwarika Hospital, Ahmedabad
25+ yrs experience 10,000+ surgeries Trained: SGPGIMS · Japan · Korea
  • IAGES
  • ASI — Association of Surgeons of India
  • SAGES
  • International surgical societies

Quick answer

AI & snippet ready

Laparoscopic repair of a large paraesophageal hernia is built around a few non‑negotiable principles: complete sac reduction, aggressive mediastinal mobilization to obtain ≥2–3 cm tension‑free intra‑abdominal esophagus, meticulous crural reconstruction, and a tailored fundoplication or gastropexy.   Preoperative evaluation and case selection Patients usually present with a mix of reflux and obstructive symptoms (post‑prandial pain, […]

How we get you better — step by step

Accurate diagnosisThe right tests — and only the ones you truly need.
→
Honest assessmentA clear opinion on whether treatment is really needed.
→
Laparoscopic treatmentThe least-invasive effective option, explained fully.
→
Recovery & follow-upFaster healing with guided aftercare.

Continue reading

Article NEW LIFE STYLE AFTER OBESITY SURGERY

Diet Regardless of the weight loss procedure, you will require permanent changes in your eating hab…

Read article → Article FIVE SUMMER FOODS THAT BURN BELLY FAT AND SPEED UP WEIGHT LOSS

Now that summer is here, many people would want to shed a few kilos to look their best in their sho…

Read article → Article WEIGHT LOSS ISSUE

Weight loss issue : To have satisfied meal one should have eating protein habit to maintain weight …

Read article →

From the blog

Direct Inguinal Hernia Successfully Treated with Laparoscopic TAPP Mesh Hernioplasty Hernia Direct Inguinal Hernia Successfully Treated with Laparoscopic TAPP Mesh Hernioplasty

Direct Inguinal Hernia Successfully Treated with Laparoscopic TAPP Mesh Hernioplasty: A C…

Read article → Case Library Pancreatic Neuroendocrine Tumor (PanNET) Successfully Treated with Laparoscopic Distal Pancreatectomy

Pancreatic Neuroendocrine Tumor (PanNET) Successfully Treated with Laparoscopic Distal Pa…

Read article → What Is the Survival Rate for Pancreatic Cancer? Pancreas Cancer What Is the Survival Rate for Pancreatic Cancer?

What Is the Survival Rate for Pancreatic Cancer? Featured Snippet Answer The survival rat…

Read article →

Real cases from our practice

Laparoscopic Cholecystectomy Difficult Gallbladder: Safe Laparoscopic Removal After Years of Attacks

A "difficult gallbladder" with dense scarring — removed safely by laparoscopic surgery without conv…

Read the case → Liver Resection Large Liver Tumour Removed — Preserving a Healthy Future

A large liver tumour resected with clear margins while preserving enough healthy liver to recover f…

Read the case → Laparoscopic Hiatus Hernia Repair & Fundoplication Decades of Acidity Cured: Laparoscopic Repair of a Large Hiatus Hernia

Long-standing reflux from a large hiatus hernia fixed by laparoscopic surgery — off daily acid medi…

Read the case →
Dr. Avinash Tank
Medically reviewed by
Dr. Avinash Tank — MCh Surgical Gastroenterology

Super-specialist GI, bariatric & cancer surgeon. SGPGIMS (India's premier GI centre) + advanced training in Japan & South Korea. Read full profile →

Last reviewed: July 2026

Comments

Be the first to share your thoughts on this article.

Leave a comment

Your email is never published. Comments appear after review by our team.

Explore further

Browse the Knowledge Centres

Disease Knowledge Centre→ Cancer Knowledge Centre→ Endoscopy Knowledge Centre→ Weight Loss Knowledge Centre→ Diabetes Reversal Knowledge Centre→ Laparoscopic Surgery Knowledge Centre→ Robotic Surgery Knowledge Centre→ Conditions A–Z→ Gastro Health Blog→

Worried about your symptoms?

Don't rely on guesswork — get an honest, expert opinion from Dr. Avinash Tank.

Book Appointment WhatsApp Call Now Learn More
Get in touch

Worried about a digestive, liver or GI problem?

Get a clear, honest answer from a super-specialist. Share your concern and the team will guide you — confidentially, with same-week slots.

Call Now+91 88660 20505
WhatsAppReply within 2 hours

Book a Consultation

Confidential · Same-week slots · 25+ yrs experience
🔒 Confidential · we reply within 2 hours
Rate us on Google
Your feedback helps other patients
Write a Review
Call WhatsApp Book