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Polyester Composite Mesh for Laparoscopic Paraesophageal Hernia Repair

^* To whom correspondence should be addressed. E-mail: esteban.varela{at}utsouthwestern.edu.

	Abstract

Recent evidence supports the use of prosthetic reinforcement material during laparoscopic hiatal hernia repair; however, the search for appropriate prosthetic materials is still under investigation. In this article, the technical feasibility and the short-term outcomes of the use of polyester composite mesh for crural reinforcement was determined. A small series of patients with large paraesophageal hiatal hernias underwent laparoscopic repair with mesh (5 males; mean age = 62 ± 10 years; mean body mass index = 29 ± 1 kg/m², and mean American Society of Anesthesiologists = 3 ± .4). There were no postoperative complications, deaths, or evidence of hernia recurrence documented by barium study at a median follow-up of 9 months. The use of the polyester composite mesh is technically feasible, has excellent intracorporeal handling characteristics, and holds suture readily. The short-term outcomes of the use of the polyester composite mesh for paraesophageal hernia repair reinforcement appeared to be favorable and are encouraging.

First published on April 29, 2008, doi:10.1177/1553350608318143

Surgical Innovation 2008;15:90.

A more recent version of this article appeared on June 1, 2008


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