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Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy
BACKGROUND AND OBJECTIVES: Laparoscopic sleeve gastrectomy has become a valuable primary bariatric operation. It has an acceptable complication profile and amount of weight loss. However, one of the most distressing complications to the patient is reflux postoperatively. There is thought to be a rel...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866071/ https://www.ncbi.nlm.nih.gov/pubmed/24398209 http://dx.doi.org/10.4293/108680813X13693422520008 |
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author | Clapp, Benjamin |
author_facet | Clapp, Benjamin |
author_sort | Clapp, Benjamin |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Laparoscopic sleeve gastrectomy has become a valuable primary bariatric operation. It has an acceptable complication profile and amount of weight loss. However, one of the most distressing complications to the patient is reflux postoperatively. There is thought to be a relationship between a hiatal hernia and postoperative reflux. There is disagreement on how to address a hiatal hernia intraoperatively, and the use of mesh is controversial. Our objectives were to examine the use of a prosthetic bioabsorbable mesh for repair of a large hiatal hernia during a sleeve gastrectomy and to examine the incidence of reflux and mesh-related complications in the near term. METHODS: This is a case series of patients with hiatal hernia undergoing a primary sleeve gastrectomy. None of the patients had a previous hiatal hernia repair. Three patients with large hiatal hernias diagnosed preoperatively or intraoperatively were included. The hiatus of the diaphragm was repaired with a posterior crural closure, and a piece of prosthetic bioabsorbable mesh was placed posteriorly to reinforce the repair. RESULTS: There were 3 patients. The mean follow-up period was 12 months. There were no mesh-related complications. One of the patients needed to resume proton pump inhibitors to control reflux. CONCLUSION: The use of a prosthetic bioabsorbable mesh to repair a hiatal hernia simultaneously with a sleeve gastrectomy is safe. There were no mesh-related complications at 1 year. |
format | Online Article Text |
id | pubmed-3866071 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-38660712013-12-18 Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy Clapp, Benjamin JSLS Case Reports BACKGROUND AND OBJECTIVES: Laparoscopic sleeve gastrectomy has become a valuable primary bariatric operation. It has an acceptable complication profile and amount of weight loss. However, one of the most distressing complications to the patient is reflux postoperatively. There is thought to be a relationship between a hiatal hernia and postoperative reflux. There is disagreement on how to address a hiatal hernia intraoperatively, and the use of mesh is controversial. Our objectives were to examine the use of a prosthetic bioabsorbable mesh for repair of a large hiatal hernia during a sleeve gastrectomy and to examine the incidence of reflux and mesh-related complications in the near term. METHODS: This is a case series of patients with hiatal hernia undergoing a primary sleeve gastrectomy. None of the patients had a previous hiatal hernia repair. Three patients with large hiatal hernias diagnosed preoperatively or intraoperatively were included. The hiatus of the diaphragm was repaired with a posterior crural closure, and a piece of prosthetic bioabsorbable mesh was placed posteriorly to reinforce the repair. RESULTS: There were 3 patients. The mean follow-up period was 12 months. There were no mesh-related complications. One of the patients needed to resume proton pump inhibitors to control reflux. CONCLUSION: The use of a prosthetic bioabsorbable mesh to repair a hiatal hernia simultaneously with a sleeve gastrectomy is safe. There were no mesh-related complications at 1 year. Society of Laparoendoscopic Surgeons 2013 /pmc/articles/PMC3866071/ /pubmed/24398209 http://dx.doi.org/10.4293/108680813X13693422520008 Text en © 2013 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Case Reports Clapp, Benjamin Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy |
title | Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy |
title_full | Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy |
title_fullStr | Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy |
title_full_unstemmed | Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy |
title_short | Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy |
title_sort | prosthetic bioabsorbable mesh for hiatal hernia repair during sleeve gastrectomy |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866071/ https://www.ncbi.nlm.nih.gov/pubmed/24398209 http://dx.doi.org/10.4293/108680813X13693422520008 |
work_keys_str_mv | AT clappbenjamin prostheticbioabsorbablemeshforhiatalherniarepairduringsleevegastrectomy |