Mesh erosion as a complication of laparoscopic fundoplication with prosthetic hiatal closure: report of a case.

Kepenekci İ., Turkcapar A. G.

Surgical laparoscopy, endoscopy & percutaneous techniques, cilt.19, sa.2, 2009 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 2
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1097/sle.0b013e3181979a45
  • Dergi Adı: Surgical laparoscopy, endoscopy & percutaneous techniques
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: Complication, Laparoscopic antireflux surgery, Mesh, Mesh erosion, Prosthetic hiatal closure
  • Ankara Üniversitesi Adresli: Evet

Özet

BACKGROUND: Laparoscopic fundoplication has become the standard procedure for surgical management of gastroesophageal reflux disease. Simple cruroplasty is associated with a high recurrence rate and most authors recommend the use of prosthetic meshes for crural closure. METHODS: Herein we report a patient who was admitted with the complaint of severe dysphagia a year after laparoscopic fundoplication with prosthetic hiatal closure. RESULTS: The patient presented with mesh erosion into the esophagus and required a distal esophageal resection. CONCLUSIONS: This case demonstrates that appropriate surgical technique is important for preventing mesh-related complications. A small-sized mesh should be placed so as to have no contact with the esophagus and should be secured sufficiently to the diaphragmatic crura to avoid the potential complications of mesh reinforcement. © 2009 Lippincott Williams & Wilkins, Inc.