Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2025; 17(7): 106365
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.106365
Removal of the sac during surgery for the repair of “giant” paraesophageal hernias
Vahe M Hakobyan, Areg A Petrosyan, Hayk H Yeghiazaryan, Andranik Y Aleksanyan, Hayk H Safaryan, Hakob H Shmavonyan, Karen T Papazyan, Khachik H Ayvazyan, Levon G Davtyan, Aram A Khachatryan, Ghukas S Sargsyan, Suren A Stepanyan
Vahe M Hakobyan, Areg A Petrosyan, Hayk H Yeghiazaryan, Andranik Y Aleksanyan, Hayk H Safaryan, Hakob H Shmavonyan, Karen T Papazyan, Khachik H Ayvazyan, Aram A Khachatryan, Suren A Stepanyan, Department of Surgery 1, Yerevan State Medical University, Yerevan 0025, Armenia
Vahe M Hakobyan, Areg A Petrosyan, Hayk H Yeghiazaryan, Andranik Y Aleksanyan, Hayk H Safaryan, Hakob H Shmavonyan, Karen T Papazyan, Khachik H Ayvazyan, Aram A Khachatryan, Ghukas S Sargsyan, Suren A Stepanyan, Clinic of Surgery, Mikaelyan Institute of Surgery, Yerevan 0052, Armenia
Levon G Davtyan, Department of Radiology, Mikaelyan Institute of Surgery, Yerevan 0052, Armenia
Author contributions: Hakobyan VM, Petrosyan AA, Yeghiazaryan HH, Aleksanyan AY, Safaryan HH, Shmavonyan HH, Papazyan KT, Ayvazyan KH, Davtyan LG, Khachatryan AA, Sargsyan GS and Stepanyan SA performed the research, designed the research study, drafted the article and made critical revisions related to the content of the manuscript; Hakobyan VM, Petrosyan AA and Stepanyan SA analyzed the data and wrote the manuscript; All the authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of the Mikaelyan Institute of Surgery (approval No. 480225).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Suren A Stepanyan, PhD, Chairperson, Chief, Full Professor, Department of Surgery 1, Yerevan State Medical University, 2 Koryun St, Yerevan 0025, Armenia. sastepanyan5@gmail.com
Received: February 24, 2025
Revised: March 30, 2025
Accepted: June 6, 2025
Published online: July 27, 2025
Processing time: 149 Days and 22.2 Hours
Core Tip

Core Tip: This article highlights several technical aspects of surgery for “giant” paraesophageal hiatal hernias. The step involving the evacuation of the hernia contents and mobilization of the sac was emphasized in this study. The findings of this investigation underscore the importance of technical aspects of surgery for giant paraesophageal hiatal hernias, reinforcing the hiatus and assessing the need for antireflux interventions.