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...
Main Authors: | , , , , |
---|---|
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= |
_version_ | 1818284196633772032 |
---|---|
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. |
first_indexed | 2024-12-13T00:48:58Z |
format | Article |
id | doaj.art-8f0f6c04ece04c30a05e9949474e1bde |
institution | Directory Open Access Journal |
issn | 0972-9941 1998-3921 |
language | English |
last_indexed | 2024-12-13T00:48:58Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Minimal Access Surgery |
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 |