Correction to: Preventing Peterson’s space hernia using a BIO synthetic mesh

Meticulous Closure of Mesenteric Defects Effectively Reduces the Incidence of Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass

“…While closing MD has now clearly been established as a mandatory step at completion of RYGB, the precise technique for closure is still debated. The use of a mesh to reinforce closure has even been described [29,30]. As others, and despite systematic closure of all MD as of the beginning of our experience with laparoscopic RYGB, we have observed a high incidence of IH initially (12.9%), which led us to adjust the closing technique to improve permanent closure and reduce the risk of IH.…”

“…This risk is probably lower with running sutures provided the bites are not too far apart. In the past, even the use of mesh has been suggested to increase adhesions at the MD [29,30]. We are convinced that materials such as braided non-absorbable sutures that create more inflammation, hence more adhesions, at the MD, are efficient and more likely to result in permanent closure than monofilaments.…”

Sutura barbada para el cierre de defectos mesentéricos tras bypass gástrico laparoscópico: ¿ha cambiado la incidencia de hernia interna en nuestra serie?

“…Kristensen et al (3) analiza el cierre o no de los DM utilizando clips (3) , obteniendo resultados estadísticamente significativos a favor del cierre. En 2021, Skidmore et al (9) publica un estudio retrospectivo donde compara diferentes materiales, sutura irreabsorbible, pegamento y una combinación de sutura no absorbible y malla biológica. Defiende el uso de la malla para el cierre del espacio de Petersen, pero describe complicaciones en el cierre de la brecha mesentérica con riesgo de HI y oclusión intestinal por adherencias.…”