Laparoscopic repair of large hiatal hernia with polytetrafluoroethylene

Frantzides, Constantine T.; Richards, Christina; Carlson, Mark A.

doi:10.1007/s004649901131

Cited by 78 publications

(45 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A number of authors have advocated the use of prosthetic material for crural reinforcement [2,7,8,11,13,14]. However, the choice of prosthetic material and the shape, location, and placement of the material vary widely.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Laparoscopic mesh cruroplasty for large paraesophageal hernias

Champion¹,

Rock²

2003

Surg Endosc

115

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

“…Bovine pericardium and PTFE are expensive, adding between $400 and $1000 to the operation [3,8]. In addition, both are opaque, making accurate stapling and suture fixation difficult.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic mesh cruroplasty for large paraesophageal hernias

Champion¹,

Rock²

2003

Surg Endosc

115

View full text Add to dashboard Cite

show abstract

“…Frantzides et al [15] suggest a prosthetic PTFE reinforcement of posterior cruroplasty in large hiatal defects (>8 cm), demonstrating its superiority compared to primary closure alone [8]. Some authors who have described laparoscopic hiatus hernia repair with a prosthetic mesh used a``tension-free'' repair, in which the defect is left open and the prosthetis bridges the gap [5,11,21,27].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic physiological hiatoplasty for hiatal hernia: new composite "A"-shaped mesh

et al. 2002

View full text Add to dashboard Cite

show abstract

“…No cases of postoperative infection. The mean hospital stay was 3.5 days (2-5), with time to return to usual activities an average 10 days (7)(8)(9)(10)(11)(12)(13)(14)(15).…”

Section: Resultsmentioning

confidence: 99%

“…From its first description in 1991 the laparoscopic management of GERD has been developed and described in several studies as effective and safe technique with excellent functional results and improved quality of life. 2.3 The laparoscopic antireflux operation has shown excellent clinical results in 85 to 95% of cases beyond the reduction in mortality when compared to conventional technique 10,11,12,21 . Despite the excellent results, there are some reports of increased postoperative complications in laparoscopic technique 1 Failures caused by triggered it can generate the persistence of reflux symptoms or the development of dysphagia, flatulence or diarrhea, which may become necessary the need for surgical rapprochement 15 .…”

Section: Introductionmentioning

confidence: 99%

Uso de próteses na correção cirúrgica das hérnias hiatais

Zilberstein

Ferreira

Carvalho

et al. 2010

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

-Background -A major complication after laparoscopic fundoplication is migration of the fundic wrap into the chest, with or without rupture of the valve. This can occur as a result of inadequate closure of the diaphragmatic hiatus, by rupture of sutures or carried by laceration of the muscle fibers manipulated. AimTo verify the efficiency of the use of Dacron ® or Prolene ® mesh in the reinforcement of the diaphragmatic hiatus. Methods -Fifteen patients were operated with mean age of 46 years using laparoscopic antireflux surgery, with Prolene ® or Dacron ® mesh reinforcement of the hiatal crura. The patients were operated under general anesthesia by laparoscopy using five trocars. The average time of surgery was 120 minutes. No deaths occurred. The mean postoperative time was 3.5 days. Patients returned to normal activities around the 10th postoperative day. The mean followup was five years. In only two patients, in which were used in a Dacron ® mesh, and in another Prolene ® , there was migration of the mesh to the esophageal lumen causing dysphagia. Conclusion -The mesh use in laparoscopic hiatoplasties is good alternative to close the diaphragmatic defect in large hiatal hernias, correction of reflux esophagitis associated with Barrett's esophagus or hiatal hernia/esophagitis recurrence after surgical correction.RESUMO -Racional -Uma das principais complicações após a fundoplicatura laparoscópica é a migração do fundo gástrico para o tórax, com ou sem ruptura da válvula. Isso pode ocorrer como consequência de fechamento inadequado do hiato diafragmático, por ruptura das suturas realizadas ou por laceração das fibras musculares manipuladas. Objetivo -Estudar a utilização da tela de Prolene ® ou de Dacron ® para reforçar o fechamento do hiato diafragmático. Métodos -Foram operados 15 pacientes (6 homens e 9 mulheres) com idade média de 46 anos (22 a 78) tendo-se realizado operação laparoscópica anti-refluxo, utilizando-se tela Prolene ® ou Dacron ® para reforçar a crura hiatal. Os pacientes foram operados sob anestesia geral, por videolaparoscopia utilizando cinco trocárteres. Resultados -O tempo médio de operação foi de 120 minutos. Não ocorreu nenhum óbito. O tempo pós-operatório médio foi de 3,5 dias. Os pacientes retornaram à suas atividades habituais em torno do 10º dia do pós-operatório. O tempo médio de seguimento foi de cinco anos. Em apenas dois pacientes, nos quais foram utilizadas em um a tela de Dacron ® e em outro Prolene ® , ocorreu migração da tela para o lúmen esofágico ocasionando disfagia. Conclusão -Utilizar tela nas hiatoplastias videolaparoscópicas é boa alternativa para o fechamento dos defeitos diafragmáticos nas grandes hérnias hiatais, na correção da esofagite de refluxo associada ao esôfago de Barrett, ou em caso de recorrência da hérnia hiatal ou esofagite após correção cirúrgica prévia.

show abstract

Laparoscopic repair of large hiatal hernia with polytetrafluoroethylene

Abstract: On the basis of these preliminary results it appears that repair with PTFE may confer an advantage, with lower rates of recurrence in patients with large hiatal hernia defects.

Cited by 78 publications

References 6 publications

Laparoscopic mesh cruroplasty for large paraesophageal hernias

Laparoscopic mesh cruroplasty for large paraesophageal hernias

Laparoscopic physiological hiatoplasty for hiatal hernia: new composite "A"-shaped mesh

Uso de próteses na correção cirúrgica das hérnias hiatais

Contact Info

Product

Resources

About