Strengthening for closure of the hiatus with biological mesh long-term follow-up: initial experience a novel technique

Alexis Bolio Galvis; Bernardo Rueda Torres; Daniel Palencia Fernández; Guillermo Martínez Montes

2009, Number 3-4

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Rev Mex Cir Endoscop 2009; 10 (3-4)

Strengthening for closure of the hiatus with biological mesh long-term follow-up: initial experience a novel technique

Bolio GA, Rueda TB, Palencia FD, Martínez MG

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Language: Spanish
References: 11
Page: 108-112
PDF size: 103.50 Kb.

ABSTRACT

This study aimed to determine the effectiveness of a biologic mesh to reinforce the crura during Nissen fundoplication as an effort to prevent recurrence of hiatal hernia. Twenty seven patients with GERD were followed for a period of 5 to 7 years after Nissen fundoplication with biological mesh reinforcement. Follow-up was obtained immediately post-operative, and then at 6 months, 24 months, and at 5 or 7 years. The follow-up included a barium esophagogram, upper endoscopy and follow-up questionnaire to evaluate the level of satisfaction of the procedure and post-operative complications. In the immediate post-operative period, two patients complained of minor dysphagia and one patient complained of retrosternal pain. Both complications resolved over time with no additional intervention. Of the 25 patients who returned for 5 to 7 year follow-up, none had evidence of recurrent hernia as confirm by barium esophagogram or upper endoscopy. Conclusions: Biologic mesh is easy to place in little time, appears safe to patients, and has a low rate of post-operative complications and incidence of recurrence with follow-up out to 5-7 years.

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