Prosthetic Bioabsorbable Mesh for Hiatal Hernia Repair During Sleeve Gastrectomy

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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 relationship between a hiatal hernia and postoperative reflux. There is disagreement on how to addres...

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Biologic Keyhole Mesh in Hiatal Hernia Repair

Background and Objectives Laparoscopic paraesophageal hernia repair (LPEHR) is the new standard, but the use of mesh is still debated. Biologic mesh has shown great promise, but only the U-shaped onlay has been extensively studied. Postoperative dysphagia has historically been a concern with the use of synthetic keyhole mesh and subsequently slowed its adoption. The purpose of our study was to ...

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Prosthetic Mesh Repair for Large Paracolostomy Hernia

described. These may be categorized broadly into fascial repair, stoma relocation and fascial repair with prosthetic material. There is no consensus regarding the optimal method of repair and there has been virtually no critical examination of the efficacy of these types of hernia repair. Thorlakson [25] recommends a direct repair via the ostomy site with closure of the defect with non absorbab...

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Laparoscopic hiatal hernia repair. Is the mesh hiatoplasty justified?

AIM Laparoscopic Nissen fundoplication represents the gold standard in GERD therapy, although, a frequent failure of this primary repair is represented by the breakdown of the hiatoplasty. Aim of our work is to evaluate if ultrastructural alterations of the diaphragmatic pillars in patients with hiatal hernia, can explain the physiopathology of hernia recurrence. MATERIAL OF STUDY The patient...

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Concurrent Mesh Repair of a Morgagni and Umbilical Hernia during a Laparoscopic Sleeve Gastrectomy in a Morbidly Obese Individual

Morgagni Hernia is a rare form of diaphragmatic hernia. It is mainly asymptomatic and often identified incidentally during surgery. Tension-free synthetic mesh repair is the preferred treatment modality. However, the use of synthetic mesh concurrently during a clean-contaminated surgery such as sleeve gastrectomy remains controversial due to the remote possibility of mesh infection. A middle-ag...

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ژورنال

عنوان ژورنال: JSLS : Journal of the Society of Laparoendoscopic Surgeons

سال: 2013

ISSN: 1086-8089,1938-3797

DOI: 10.4293/108680813x13693422520008