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Biomesh Placement in Laparoscopic Repair of Paraesophageal Hernias

Department of Gastrointestinal and Minimally Invasive Surgery, Legacy Health System, Portland, Oregon

M.B. Ujiki, MD

Department of Gastrointestinal and Minimally Invasive Surgery, Legacy Health System, Portland, Oregon

C.M. Dunst, MD

Department of Gastrointestinal and Minimally Invasive Surgery, Legacy Health System, Portland, Oregon

L.L. Swanström, MD, FACS

Department of Gastrointestinal and Minimally Invasive Surgery, Legacy Health System, Portland, Oregon, lswanstrom{at}aol.com

The placement of mesh in the crural closure of paraesophageal hiatal hernia repairs has been shown to decrease hernia recurrence rates. Typical synthetic mesh are easy to use but have high rate of erosion into the esophagus. Alternatively, biologic mesh decrease the risk of erosion, but are more difficult to manipulate, and there is currently no well-described method for securing them. Current fixation techniques of mesh are difficult, cumbersome, incur extra expense, and are not without complications. A method that requires no additional sutures or staples and achieves excellent contact and reinforcement of the crural closure is presented.

Key Words: paraesophageal hernia • hiatal hernia • recurrence • biologic mesh • laparoscopic repair

Surgical Innovation, Vol. 15, No. 3, 184-187 (2008)
DOI: 10.1177/1553350608323062


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