The new method for hiatal hernia laparoscopic alloplasty
Journal Title: Хірургія України - Year 2019, Vol 0, Issue 1
Abstract
The aim — to analyze the immediate results of the first experience of a new laparoscopic mesh repair method for the hiatal hernia. Materials and methods. Five patients with an age ranging from 38 to 70 years, and a body mass index ranging from 28 to 35 kg/m2, undergone laparoscopic mesh repair and Nissen fundoplication using new method called «internal buttress of posterior crural repair». The average area of the hernia was 9.8 cm2 (from 8 to 16 cm2). In all cases, there was a thinning of the cruras and the upper part of the border of the hiatal. Two pieces of rectangular mesh Parietene ProGrip (Covidien, USA), measuring from 0.8 ´ 2.5 cm to 1.0 ´ 3.0 cm, were fixed by their hooks to the inner surface of the crura. Then, cruroraphy together with the both pieces of the mesh was done using a selfgripping nonabsorbable continuous suture with Vloc 20 (Covidien, USA). Results and discussion. The mean duration of repair was 20 minutes (range 15 to 35 minutes). The mesh implants were not shifted when flashing and at the same time their position could be corrected. The rupture of the crura and the bleeding from the bite points were not observed. When tightening the thread, cruras approached to each other well. There were no cases of dysphagia. Conclusions. The new method of the internal buttres of posterior crural repair using selfgripping lightweight polyester mesh (Parietene ProGrip, Covidien, USA) demonstrated its technical feasibility and safety. The new method combines the advantages of positioning of a mesh posteriorly to the crura and the comfortability of posterior crural repair. More cases collection with assessment of longterm results and comparing with other methods is needed.
Authors and Affiliations
A. V. Malinovsky, S. Y. Badion, I. I. Horbachuk
Keywords
Related Articles
- EP ID EP564156
- DOI 10.30978/SU2019-1-29
- Views 142
- Downloads 0
Acute carcinomatous pancreatitis in patients with pancreatic head cancer complicated by obstructive jaundice
The aim — to improve the diagnostic and surgical palliative treatment results in patients with unresectable pancreatic head cancer, complicated by obstructive jaundice with the canceromatous pancreatitis. Materials and...
Combined shrapnel injury of the inferior vena cava which caused bullet pulmonary artery embolism (case report and review of the literature)
Bullet embolism is a rare and unpredictable complication of gunshot and mine‑explosive injuries. With only few cases described in the literature, bullet embolism may become a diagnostic challenge for emergency and milita...
Long-term results after the application of the high-frequency endovenous electric welding on the trombosed great saphenous veins of lower extremities according to morphological and ultrasonography data
The aim — to study morphological and ultra‑sonic changes in the thrombosed magistral vein after the high‑frequency endovascular electric welding and to determine the effectiveness of the method for the acute ascending th...
Comparative effectiveness evaluation of the improved and conventional perioperative antithrombotic therapy in patients with acute calculous cholecystitis and concomitant ischemic heart disease
The aim — to evaluate the efficacy of improved perioperative antithrombotic therapy in patients who underwent laparoscopic cholecystectomy for acute calculous cholecystitis (ACH) with concomitant ischemic heart disease (...
Taxonomic composition and microecological indices of skin and subcutaneous tissue purulent-inflammatory processes
The aim — to study the taxonomic composition and microecological indicators of causative agents of acute purulent‑inflammatory diseases of the skin and subcutaneous tissue. Materials and methods. A total of 97 patients...