Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience
| العنوان: | Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience |
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| المؤلفون: | Agrusa Antonino, Gulotta Gaspare, Romano Giorgio, De Vita Giovanni, Sorce Vincenzo, Di Buono Giuseppe, Chianetta Daniela, Frazzetta Giuseppe, Di Giovanni Silvia |
| المساهمون: | Agrusa, A, Romano, G, Frazzetta, G, De Vita, G, Di Giovanni, S, Chianetta, D, Di Buono, G, Sorce, V, Gulotta, G |
| المصدر: | Case Reports in Surgery Case Reports in Surgery, Vol 2014 (2014) |
| بيانات النشر: | Hindawi Publishing Corporation, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, laparoscopy, lcsh:Surgery, Case Report, Nissen fundoplication, Hiatal hernia, medicine, Pharmacology (medical), Esophagus, medicine.diagnostic_test, business.industry, Soft tissue, lcsh:RD1-811, medicine.disease, digestive system diseases, Surgery, Endoscopy, Laparoscopic hiatal hernia repair, Settore MED/18 - Chirurgia Generale, medicine.anatomical_structure, GERD, business, Corrigendum, Esophagitis, hiatal hernia repair |
| الوصف: | 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. |
| اللغة: | English |
| تدمد: | 2090-6919 2090-6900 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4532db0931708e0018e6d8af97c11f0aTest http://europepmc.org/articles/PMC4016863Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....4532db0931708e0018e6d8af97c11f0a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20906919 20906900 |
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