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Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement : Our Experience
Joint Authors
Vincenzo, Sorce
Giuseppe, Di Buono
Giuseppe, Frazzetta
Silvia, Di Giovanni
Gulotta, Gaspare
Daniela, Chianetta
Antonino, Agrusa
Romano, Giorgio
Giovanni, De Vita
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Type I hiatal hernia is associated with gastroesophageal reflux disease (GERD) in 50–90% of cases.
Several trials strongly support surgery as an effective alternative to medical therapy.
Today, laparoscopic fundoplication is considered as the procedure of choice.
However, primary laparoscopic hiatal hernia repair is associated with upto 42% recurrence rate.
Mesh reinforcement of the crural closure decreases the recurrence but can lead to complications, above all nonabsorbable ones.
We experiment a new totally absorbable mesh by Gore.
Case.
We present a case of a 65-year-old female patient with a 6-year classic history of GERD.
Endoscopy revealed a large hiatal hernia and esophagitis.
pH study was positive for acid reflux; esophageal manometry revealed LES intrathoracic dislocation.
With laparoscopic approach, the hiatal hernia defect was identified and primarily repaired, by crural closure.
Gore Bio-A Tissue Reinforcement was trimmed to fit the defect accommodating the esophagus.
Nissen fundoplication was performed.
Result.
Bio-A mesh was easily placed laparoscopically.
It has good handling and could be cut and tailored intraoperatively for optimal adaptation.
There were no short-term complications.
Conclusion.
Crural closure reinforcement can be done readily with this new totally absorbable mesh replaced by soft tissue over six months.
However, further data and studies are needed to evaluate long-term outcomes.
American Psychological Association (APA)
Antonino, Agrusa& Romano, Giorgio& Giuseppe, Frazzetta& Giovanni, De Vita& Silvia, Di Giovanni& Daniela, Chianetta…[et al.]. 2014. Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement : Our Experience. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-503290
Modern Language Association (MLA)
Antonino, Agrusa…[et al.]. Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement : Our Experience. Case Reports in Surgery No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-503290
American Medical Association (AMA)
Antonino, Agrusa& Romano, Giorgio& Giuseppe, Frazzetta& Giovanni, De Vita& Silvia, Di Giovanni& Daniela, Chianetta…[et al.]. Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement : Our Experience. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-503290
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-503290