Goyal, Vikas DeepGupta, BhartiPal, SanjayNagpal, VishalSood, Saloni2015-06-302015-06-302014-01Goyal Vikas Deep, Gupta Bharti, Pal Sanjay, Nagpal Vishal, Sood Saloni. Transthoracic repair of diaphragmatic hiatus hernia with esophageal shortening where laparoscopic abdominal approach does not give satisfactory results. Sub-Himalayan Journal of Health Research. 2014 Jan-June; 1(1): 38-41.http://imsear.searo.who.int/handle/123456789/158697A 50 year old female patient presented with history of regurgitation of food, heart burn, dyspepsia. Patient was investigated and presence of large hiatus hernia was confirmed on endoscopy, computed tomogram chest and barium swallow. Patient had severe symptoms even with maximum medical management, therefore surgical intervention was planned. Left posterolateral thoracotomy was done through sixth intercostal space. Mobilization of esophagus, reduction of stomach and Belsey Mark IV 270 degree anterolateral fundoplication was done. Patient was discharged on 7th postoperative day. First follow up was I month after the discharge and patient had significant relief from the preoperative problems.enDiaphragmatic hiatus herniaThoracotomyBelsey Mark IV repairAdultDigestive System Surgical Procedures --methodsEsophagus --pathologyFemaleHernia, Diaphragmatic --surgeryHumansThoracotomy --methodsArticle