Composite mesh repair of a large paraesophageal hiatal hernia |
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Authors: | Casaccia Marco Torelli Paolo Troilo Bianca Maria Savelli Alfredo Valente Umberto |
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Affiliation: | Advanced Laparoscopic Unit, Department of General and Transplant Surgery, St. Martino Hospital, University of Genoa, Italy. Marco.Casaccia@unige.it |
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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. |
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