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- Title
Composite Mesh Repair of a Large Paraesophageal Hiatal Hernia.
- Authors
Casaccia, Marco; Torelli, Paolo; Troilo, Bianca Maria; Savelli, Alfredo; Valente, Umberto
- Abstract
We describe the first experience in Italy with a new pre-cut composite polytetrafluoroethylene (PTFE)/expanded PTFE (ePTFE) prosthesis designed for the hiatal region. A 78-year-old female patient with a large paraesophageal hiatal hernia with migration of the left transverse colon inside the hiatal defect (type IV hernia) received laparoscopic repair by means of the composite V-shaped mesh. The procedure was completed laparoscopically and a partial fundoplication was performed. A favorable outcome was assessed by barium swallow radiograms performed on postoperative day 7. A complete resolution of the symptoms was noted at follow-up 1 month postoperatively. This report confirms the feasibility, effectiveness, and added advantages of the composite V-shaped mesh in tension-free repair of a large hiatal hernia.
- Subjects
POLYTEF; PROSTHETICS; HIATAL hernia; PATIENTS; LAPAROSCOPY; FUNDOPLICATION; BARIUM
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2006, Vol 16, Issue 4, p381
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/lap.2006.16.381