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Surgical Innovation
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*Substance via MeSH
Medline Plus Health Information
*Endoscopy
*Hiatal Hernia
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Laparoscopic Circular Biomesh Hiatoplasty During Paraesophageal Hernia Repair

J. Esteban Varela, MD, MPH, FACS

Minimally Invasive Surgery, Veteran Affairs North Texas Health Care System, Dallas, Texas, esteban.varela{at}utsouthwestern.edu

Samuel P. Jacks, MD

Minimally Invasive Surgery, Veteran Affairs North Texas Health Care System, Dallas, Texas

Laparoscopic approaches for paraesophageal hernia repair and the use of prosthetic reinforcement materials during crural repair have become standard. However, the search for the optimal prosthetic material and techniques for placement and fixation methods are still controversial and under investigation. The authors aimed to determine the technical feasibility of the use of human acellular dermal matrix for hiatoplasty in a circular fashion during paraesophageal hernia repair in a small series of patients. The short-term outcomes of patients who underwent laparoscopic repair of large paraesophageal hernias with biomesh circular hiatal reinforcement were analyzed. Laparoscopic circular hiatal reinforcement with acellular dermal matrix is feasible and reproducible with no associated short-term morbidity. The acellular dermal matrix mesh is very elastic and has excellent intracorporeal handling characteristics during hiatoplasty.

Key Words: biomesh • hiatoplasty • cruroplasty • hiatal hernia • laparoscopy • paraesophageal hernia

This version was published on June 1, 2009

Surgical Innovation, Vol. 16, No. 2, 124-128 (2009)
DOI: 10.1177/1553350609336420
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