Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection

The augmentation of hiatal repair for large hiatus hernia with mesh is controversial. There is some evidence that recurrence rates are less with mesh repair; however, there is a risk of mesh erosion. Complicated erosion may require complex revisional surgery and oesophagogastric resection. We presen...

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Main Authors: Carla Gillespie, Ada Ng, Richard Skipworth, Steven Leibman, Garett Smith
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=4;spage=426;epage=428;aulast=
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author Carla Gillespie
Ada Ng
Richard Skipworth
Steven Leibman
Garett Smith
author_facet Carla Gillespie
Ada Ng
Richard Skipworth
Steven Leibman
Garett Smith
author_sort Carla Gillespie
collection DOAJ
description The augmentation of hiatal repair for large hiatus hernia with mesh is controversial. There is some evidence that recurrence rates are less with mesh repair; however, there is a risk of mesh erosion. Complicated erosion may require complex revisional surgery and oesophagogastric resection. We present a novel approach to the treatment of oesophageal mesh erosion, by utilising a combined approach of endoscopy and intragastric laparoscopy. The symptomatic relief from this procedure may obviate the need for foregut resection in some patients.
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spelling doaj.art-8f0f6c04ece04c30a05e9949474e1bde2022-12-22T00:04:57ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212020-01-0116442642810.4103/jmas.JMAS_286_19Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resectionCarla GillespieAda NgRichard SkipworthSteven LeibmanGarett SmithThe augmentation of hiatal repair for large hiatus hernia with mesh is controversial. There is some evidence that recurrence rates are less with mesh repair; however, there is a risk of mesh erosion. Complicated erosion may require complex revisional surgery and oesophagogastric resection. We present a novel approach to the treatment of oesophageal mesh erosion, by utilising a combined approach of endoscopy and intragastric laparoscopy. The symptomatic relief from this procedure may obviate the need for foregut resection in some patients.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=4;spage=426;epage=428;aulast=hiatal hernia repairmesh erosionminimally invasive surgerytransgastric laparoscopy
spellingShingle Carla Gillespie
Ada Ng
Richard Skipworth
Steven Leibman
Garett Smith
Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
Journal of Minimal Access Surgery
hiatal hernia repair
mesh erosion
minimally invasive surgery
transgastric laparoscopy
title Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
title_full Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
title_fullStr Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
title_full_unstemmed Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
title_short Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
title_sort intragastric laparoscopy for oesophageal eroded mesh removal an approach to avoid resection
topic hiatal hernia repair
mesh erosion
minimally invasive surgery
transgastric laparoscopy
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=4;spage=426;epage=428;aulast=
work_keys_str_mv AT carlagillespie intragastriclaparoscopyforoesophagealerodedmeshremovalanapproachtoavoidresection
AT adang intragastriclaparoscopyforoesophagealerodedmeshremovalanapproachtoavoidresection
AT richardskipworth intragastriclaparoscopyforoesophagealerodedmeshremovalanapproachtoavoidresection
AT stevenleibman intragastriclaparoscopyforoesophagealerodedmeshremovalanapproachtoavoidresection
AT garettsmith intragastriclaparoscopyforoesophagealerodedmeshremovalanapproachtoavoidresection