Paraesophageal hernia repair with bifacial mesh • JML Journal of Medicine and Life

2016, Volume 9, Issue 1, pp 66 – 69

Paraesophageal hernia repair with bifacial mesh

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Authors and Affiliations

Ungureanu S ^*

Șipitco N ^**

Gladun N ^**

Lepadatu C ^**

* *Department of General Surgery, Republican Clinical Hospital, Chisinau, Moldova

** **Department of Surgery, Faculty of CME, „Nicolae Testemitanu” State Medical and Pharmaceutical University, Chisinau, Moldova

Correspondence to:: Natalia Șipitco Department of Surgery, Faculty of CME, „Nicolae Testemitanu” State Medical and Pharmaceutical University, Chisinau, Moldova 29 Testemitanu Street, Chisinau, Moldova, MD-2025 Phone: +373-079566212, Fax: + 373-022-40-35-50, E-mail: nsipitco@gmail.com

Abstract

Background.The paraesophageal hiatus hernias (PHH) are relatively uncommon, but an increased incidence has been reported and they now account for 5–10% of all hiatus hernias. The surgical treatment is recommended for all the patients with this pathology because of high risk of complications: obstruction, incarceration, strangulation or perforation. The use of prostheses is recommended in the process of repairing the giant PHH because the main problem of this operation is the high rate of recurrence.

Case presentation.The patient is a 44-year-old male with a large and symptomatic paraesophageal hernia. Diagnosis was confirmed by instrumental examination. An elective laparoscopic repair was carried out by using polypropylene bifacial anti adhesive synthetic mesh (Surgimesh XB Aspide Medical). The postoperative period passed without severe complications.

Conclusions.The laparoscopic approach as a therapeutic option can be successfully used in the repair of paraesophageal hernia. A selective use based on clinical experience was recommended, as the technique appeared to be safe, and in case of large hiatus hernia with hiatal defect, greater than 5 cm, the application of synthetic material to minimize the recurrence rate was recommended.

Keywords

hiatus herniaparaesophageal herniatype II hiatus herniasurgical mesh

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About this article

PMC ID: 5152602
PubMed ID: 27974917
DOI:

Article Publishing Date (print): Jan-Mar 2016
Available Online:

Journal information

ISSN Printing: 1844-122X
ISSN Online: 1844-3117
Journal Title: Journal of Medicine and Life

Copyright License: Open Access

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.