Cardiac tamponade as a life-threatening complication in antireflux surgery

A simplified technique for intrathoracic stomach repair: laparoscopic fundoplication with Vicryl mesh and BioGlue crural reinforcement

“…The use of BioGlue for the fixation of biologic mesh would be more difficult because of its nonporous nature. The risk for cardiac tamponade or arterial injury associated with fixation by sutures or tacks is also eliminated with this technique [16,17]. The results of our study suggest that the technique of crural reinforcement with Vicryl mesh and BioGlue is safe and easy to perform, with no mesh-related complications.…”

“…A randomized controlled trial has shown this approach to be superior to crural closure alone, with no mesh-related complications [15]. However, fixation of the biologic material to the hiatus requires sutures or tacks, which can be associated with vascular or cardiac complications [16,17].…”

“…Although these results are encouraging, biologic mesh can be difficult to manage, and its placement at the hiatus is time consuming. Fixation of the mesh to the hiatus requires sutures or tacks, which carry their own inherent risks [16,17].…”

The esophageal hiatus: what is the normal size?

“…Except for a few studies, the focus has recently been on different meshes [7-9, 11, 16-19] and the potential threats to mesh fixation [14,20,21], and less on the anatomy of the hiatus. Tailoring hiatal closure to the hiatal surface area is one possibility to achieve study protocols which can be compared in the future.…”

Hiatal hernia repair with mesh: a survey of SAGES members

“…A rare but potentially fatal complication with mesh-reinforced hiatal hernia repair that has arisen cardiac injury and tamponade [49][50][51]. The cause of this complication typically is ascribed to placement of an anchoring device (suture, tack, or staple) through the diaphragm and into the heart.…”