TITLE

Onlay hiatal reinforcement utilizing human acellular dermal matrix: three case series

AUTHOR(S)
Johnson, Jason M.; Carmody, Brennan J.; Jamal, Mohammad K.; DeMaria, Eric J.
PUB. DATE
September 2005
SOURCE
Surgical Innovation;Sep2005, Vol. 12 Issue 3, p239
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Redo laparoscopic fundoplication and laparoscopic repair of large (>5cm) paraesophageal hernias have a high rate of recurrence after primary suture repair of the hiatal defect. As such, the use of mesh prosthesis as an interposition graft or onlay reinforcement is becoming more popular for the repair of larger, more complicated crural defects. We report three cases in which human acellular dermal matrix was used as an onlay reinforcement of the hiatus after primary suture closure. Two patients had large paraesophageal hernias (one type III and one type IV). The third patient became symptomatic after her second laparoscopic antireflux procedure and was found to have recurrent herniation of the fundus into the mediastinum. All three patients underwent successful laparoscopic repair. There were no intraoperative or postoperative complications. All three patients remain symptom free with follow-up ranging from 8 months to 10 months. Acellular dermal matrix appears to be a promising prosthetic for onlay reinforcement of the hiatus during redo laparoscopic fundoplication and repair of large paraesophageal hernias.
ACCESSION #
18643877

 

Related Articles

  • One year experience of swine dermal noncrosslinked collagen prostheses for abdominal wall repairs in elective and emergency surgery. Montori, Giulia; Coccolini, Federico; Manfredi, Roberto; Ceresoli, Marco; Campanati, Luca; Magnone, Stefano; Pisano, Michele; Poiasina, Elia; Nita, Gabriela; Catena, Fausto; Ansaloni, Luca // World Journal of Emergency Surgery;Jul2015, Vol. 10 Issue 1, p1 

    Introduction: The approach to the abdominal wall surgical repair is dramatically changed in the last years. This study evaluates our institutional outcomes about the usage of biological meshes for abdominal wall repair in different setting: in elective surgery, in emergency surgery and in...

  • Laparoscopic repair of paraesophageal hernia with anterior gastropexy: a multicenter study. Daigle, Christopher; Funch-Jensen, Peter; Calatayud, Dan; Rask, Peter; Jacobsen, Bo; Grantcharov, Teodor // Surgical Endoscopy;Jul2015, Vol. 29 Issue 7, p1856 

    Background: The approach to repair of paraesophageal hernias (PEHs) is controversial. Recent data suggest that mesh repair leads to recurrence rates similar to non-mesh approaches, while subjecting patients to mesh-associated complications. Routine fundoplication during PEH repair has been...

  • Prevention of Postoperative Recurrence in Crohn's Disease. Yamamoto, Takayuki // Drugs;Mar2014, Vol. 74 Issue 3, p397 

    A letter to the editor is presented in response to an article on the prevention of post-operative recurrence in Crohn's disease by L. Vuitton et al. in a 2013 issue.

  • Erratum to: True-FISP MRI in diagnosis of postoperative hernia recurrence: a brief report. Salati, U.; Mansour, E.; Torreggiani, W. // Hernia;Apr2013, Vol. 17 Issue 2, p291 

    A correction to the article "True-FISP MRI in diagnosis of postoperative hernia recurrence: a brief report" by U. Salati, E. Mansour, and W. Torreggiani that was published online on February 24, 2013 is presented.

  • Late-Presenting Congenital Diaphragmatic Hernia in Children: The Experience of Single Institution in Korea. Dong Jin Kim; Jae Hee Chung // Yonsei Medical Journal;Sep2013, Vol. 54 Issue 5, p1143 

    Purpose: Late-presenting congenital diaphragmatic hernia (CDH) beyond the neonatal period is rare and often misdiagnosed, with delayed treatment. Materials and Methods: We retrospectively reviewed our experience with late-presenting CDH over 30 years at a single institution to determine the...

  • An international consensus algorithm for management of chronic postoperative inguinal pain. Lange, J.; Kaufmann, R.; Wijsmuller, A.; Pierie, J.; Ploeg, R.; Chen, D.; Amid, P. // Hernia;Feb2015, Vol. 19 Issue 1, p33 

    Purpose: Tension-free mesh repair of inguinal hernia has led to uniformly low recurrence rates. Morbidity associated with this operation is mainly related to chronic pain. No consensus guidelines exist for the management of this condition. The goal of this study is to design an expert-based...

  • Central failures of lightweight monofilament polyester mesh causing hernia recurrence: a cautionary note. Petro, C.; Nahabet, E.; Criss, C.; Orenstein, S.; Recum, H.; Novitsky, Y.; Rosen, M. // Hernia;Feb2015, Vol. 19 Issue 1, p155 

    Introduction: Uncoated, lightweight, macroporous, monofilament mesh has been shown to demonstrate improved bacterial clearance, better tissue integration, reduced foreign body response, and less chronic pain with equivalent durability for hernia repair. These findings led us to use a new...

  • Commentary: Laparoscopic Indirect Hernia Repair– The Ring Closure Method. Richards, William O. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Oct2001, Vol. 11 Issue 5, p303 

    Focuses on a surgery with a laparoscopic ring closure technique for repair of indirect hernias. Details of the surgical procedure; Recurrence rate and complication rate of the procedure; Effectiveness of the technique.

  • Long-term recurrence and complication rates after incisional hernia repair with the open onlay technique. Holst Andersen, Lars Peter; Klein, Mads; Gögenur, Ismail; Rosenberg, Jacob // BMC Surgery;2009, Vol. 9, Special section p1 

    Background: Incisional hernia after abdominal surgery is a well-known complication. Controversy still exists with respect to the choice of hernia repair technique. The objective of this study was to evaluate the long-term recurrence rate as well as surgical complications in a consecutive group...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics