The use of biological meshes in diaphragmatic defects – An evidence-based review of the literature
The widespread use of meshes for hiatal hernia repair has emerged in the era of laparoscopic surgery, although sporadic cases of mesh augmentation of traumatic diaphragmatic rupture have been reported. The indications for biologic meshes in diaphragmatic repair are ill defined. This systematic revie...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2015-10-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00056/full |
| _version_ | 1828971405179355136 |
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| author | Stavros Athanasios Antoniou Rudolph ePointner Frank Alexander Granderath Ferdinand eKöckerling |
| author_facet | Stavros Athanasios Antoniou Rudolph ePointner Frank Alexander Granderath Ferdinand eKöckerling |
| author_sort | Stavros Athanasios Antoniou |
| collection | DOAJ |
| description | The widespread use of meshes for hiatal hernia repair has emerged in the era of laparoscopic surgery, although sporadic cases of mesh augmentation of traumatic diaphragmatic rupture have been reported. The indications for biologic meshes in diaphragmatic repair are ill defined. This systematic review aims to investigate the available evidence on the role of biologic meshes in diaphragmatic rupture and hiatal hernia repair. Limited data from sporadic case reports and case series have demonstrated that repair of traumatic diaphragmatic rupture with biologic mesh is safe technique in both the acute or chronic setting. High level evidence demonstrates short-term benefits of biologic mesh augmentation in hiatal hernia repair over primary repair, although adequate long-term data are not currently available. Long-term follow-up data suggest no benefit of hiatal hernia repair using porcine small intestine submucosa over suture repair. The effectiveness of different biologic mesh materials on hernia recurrence requires further investigation. |
| first_indexed | 2024-12-14T13:10:20Z |
| format | Article |
| id | doaj.art-fa67c615969943d7957c87c8701f8654 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-14T13:10:20Z |
| publishDate | 2015-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-fa67c615969943d7957c87c8701f86542022-12-21T23:00:13ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2015-10-01210.3389/fsurg.2015.00056164182The use of biological meshes in diaphragmatic defects – An evidence-based review of the literatureStavros Athanasios Antoniou0Rudolph ePointner1Frank Alexander Granderath2Ferdinand eKöckerling3Center for Minimally Invasive SurgeryDepartment of General SurgeryCenter for Minimally Invasive SurgeryVivantes HospitalThe widespread use of meshes for hiatal hernia repair has emerged in the era of laparoscopic surgery, although sporadic cases of mesh augmentation of traumatic diaphragmatic rupture have been reported. The indications for biologic meshes in diaphragmatic repair are ill defined. This systematic review aims to investigate the available evidence on the role of biologic meshes in diaphragmatic rupture and hiatal hernia repair. Limited data from sporadic case reports and case series have demonstrated that repair of traumatic diaphragmatic rupture with biologic mesh is safe technique in both the acute or chronic setting. High level evidence demonstrates short-term benefits of biologic mesh augmentation in hiatal hernia repair over primary repair, although adequate long-term data are not currently available. Long-term follow-up data suggest no benefit of hiatal hernia repair using porcine small intestine submucosa over suture repair. The effectiveness of different biologic mesh materials on hernia recurrence requires further investigation.http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00056/fullFundoplicationHiatal herniaBiologic meshparaesophageal herniaDiaphragmatic ruptureBiologic graft |
| spellingShingle | Stavros Athanasios Antoniou Rudolph ePointner Frank Alexander Granderath Ferdinand eKöckerling The use of biological meshes in diaphragmatic defects – An evidence-based review of the literature Frontiers in Surgery Fundoplication Hiatal hernia Biologic mesh paraesophageal hernia Diaphragmatic rupture Biologic graft |
| title | The use of biological meshes in diaphragmatic defects – An evidence-based review of the literature |
| title_full | The use of biological meshes in diaphragmatic defects – An evidence-based review of the literature |
| title_fullStr | The use of biological meshes in diaphragmatic defects – An evidence-based review of the literature |
| title_full_unstemmed | The use of biological meshes in diaphragmatic defects – An evidence-based review of the literature |
| title_short | The use of biological meshes in diaphragmatic defects – An evidence-based review of the literature |
| title_sort | use of biological meshes in diaphragmatic defects an evidence based review of the literature |
| topic | Fundoplication Hiatal hernia Biologic mesh paraesophageal hernia Diaphragmatic rupture Biologic graft |
| url | http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00056/full |
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