Table 2.
Expert recommendations of surgical dissection for pHH repair
| Strongly recommended/Recommended (%) | Neither recommended nor discouraged (%) | Discouraged/Strongly discouraged (%) | Overall assessment | |
|---|---|---|---|---|
| Dissection of hernia sac from mediastinum | 100 | 0 | 0 | Recommended |
| Visualization of both vagal nerves | 96 | 4 | 0 | Recommended |
| Preservation of the crural fascia | 96 | 1 | 3 | Recommended |
| Resection/mobilization of retro-cardial lipoma | 93 | 4 | 3 | Recommended |
| Resection of hernia sac | 90 | 7 | 3 | Recommended |
| Preservation of pleural sac | 84 | 10 | 6 | Recommended |
| Repositioning of hernia sac contents during dissection of hernia sac from the mediastinum | 73 | 24 | 3 | Acceptable |
| Mobilization of gastric fundus | 67 | 21 | 12 | Acceptable |
| Preservation of aberrant left hepatic artery | 67 | 27 | 6 | Acceptable |
| Resection/mobilization of pre-cardial fat-pad | 66 | 21 | 13 | Acceptable |
| Repositioning of hernia sac contents as initial step of procedure | 63 | 24 | 13 | Acceptable |
| Intraoperative positioning of a large-bore esophageal tube | 37 | 37 | 25 | Acceptable |
| Preservation of hepatic branches of vagus nerves | 28 | 52 | 19 | Acceptable |
| Intraoperative endoscopy | 25 | 58 | 16 | Acceptable |
| Preservation of pulmonary branches of vagus nerves | 21 | 58 | 21 | Acceptable |
| Visualization of pulmonary veins | 6 | 48 | 46 | Acceptable |