Gastropexy in the Repair of Patients With Paraesophageal Hernias

Patients scheduled for surgery for primary paraesophageal herniation are randomized to either conventional surgical hernia repair or with the addition of gastropexy.

Inclusion Criteria: \- Patients diagnosed with a primary paraesophageal hernia (hiatal hernia types II-IV) who are scheduled for elective or emergency surgical repair at participating centers Exclusion Criteria: * Previous major upper gastrointestinal (GI) surgery, including prior hiatal hernia repair. * Diagnosis of achalasia or any other significant esophageal motility disorder. * Inability to understand the purpose of the study and/or inability or unwillingness to provide informed consent. * Severe comorbidities, defined by an American Society of Anesthesiologists (ASA) physical status score of greater than III.