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Case Reports
. 2016 Jan-Mar;9(1):66-69.

Paraesophageal hernia repair with bifacial mesh

S Ungureanu  1 , N Șipitco  2 , N Gladun  2 , C Lepadatu  2
Affiliations
Case Reports

Paraesophageal hernia repair with bifacial mesh

S Ungureanu et al. J Med Life. 2016 Jan-Mar.

Abstract

Background.The paraesophageal hiatus hernias (PHH) are relatively uncommon, but an increased incidence has been reported and they now account for 5-10% of all hiatus hernias. The surgical treatment is recommended for all the patients with this pathology because of high risk of complications: obstruction, incarceration, strangulation or perforation. The use of prostheses is recommended in the process of repairing the giant PHH because the main problem of this operation is the high rate of recurrence. Case presentation.The patient is a 44-year-old male with a large and symptomatic paraesophageal hernia. Diagnosis was confirmed by instrumental examination. An elective laparoscopic repair was carried out by using polypropylene bifacial anti adhesive synthetic mesh (Surgimesh XB Aspide Medical). The postoperative period passed without severe complications. Conclusions.The laparoscopic approach as a therapeutic option can be successfully used in the repair of paraesophageal hernia. A selective use based on clinical experience was recommended, as the technique appeared to be safe, and in case of large hiatus hernia with hiatal defect, greater than 5 cm, the application of synthetic material to minimize the recurrence rate was recommended.

Keywords: hiatus hernia; paraesophageal hernia; surgical mesh; type II hiatus hernia.

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Figures

Fig 1
Fig 1
Fig 1 a,bCT cavitary aerogenic mass situated in posterior mediastinum (arrow) (frontal and transversal view)
Fig 2
Fig 2
Fig 2Barium swallow study showing a giant type II paraesophageal hiatus hernia. More than 1/ 3 of the stomach is above the diaphragm (arrow)
Fig 3
Fig 3
Fig 3Endoscopic picture – more than 1/ 3 of the stomach is above the large diaphragmatic opening (arrow)
Fig 4
Fig 4
Fig 4Barium swallow study showing the normal position of the stomach in a month after the surgical intervention
See this image and copyright information in PMC

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