The use of biosynthetic mesh in giant hiatal hernia repair: is there a rationale? A 3-year single-center experience

Autor:	E, Tartaglia, D, Cuccurullo, L, Guerriero, S, Reggio, C, Sagnelli, P, Mugione, F, Corcione
Rok vydání:	2020
Předmět:	Adult Aged 80 and over Adolescent Fundoplication Middle Aged Surgical Mesh Young Adult Hernia Hiatal Treatment Outcome Recurrence Humans Laparoscopy Herniorrhaphy Aged Retrospective Studies
Zdroj:	Hernia : the journal of hernias and abdominal wall surgery. 25(5)
ISSN:	1248-9204
Popis:	Reinforced prosthetic crural repair is particularly indicated for giant hiatal hernias. The rationale is to reduce the recurrence rate in the long term. The aim of our study is to evaluate the outcomes of laparoscopic giant hiatal hernia repair using a biosynthetic mesh.We retrospectively analyzed 44 patients who underwent laparoscopic mesh-reinforced hiatal closure and fundoplication using a biosynthetic material. Inclusion criterion was large hiatal defects ( 5 cm). Follow-up was scheduled at 6, 12 and 36 months after surgery.44 patients (29F) with a mean age of 62 years (range 14-85) and mean of BMI 24.5 kg/mThe use of biosynthetic mesh for crural reinforcement is associated with a low incidence of mesh-related complications and with a reasonably low recurrence rate (4.5%) at 36 months. However, additional data with longer follow-up are needed to determine long-term safety and efficacy.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::af018efd7c376e20ba8032e705b1cdcb https://pubmed.ncbi.nlm.nih.gov/33165703 Zobrazit plný text záznamu Full text from SpringerLink