Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience

Type I hiatal hernia is associated with gastroesophageal reflux disease (GERD) in 50–90% of cases. Several trials strongly support surgery as an effective alternative to medical therapy. Today, laparoscopic fundoplication is considered as the procedure of choice. However, primary laparoscopic hiatal...

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Main Authors: Agrusa Antonino, Romano Giorgio, Frazzetta Giuseppe, De Vita Giovanni, Di Giovanni Silvia, Chianetta Daniela, Di Buono Giuseppe, Sorce Vincenzo, Gulotta Gaspare
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/851278
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author Agrusa Antonino
Romano Giorgio
Frazzetta Giuseppe
De Vita Giovanni
Di Giovanni Silvia
Chianetta Daniela
Di Buono Giuseppe
Sorce Vincenzo
Gulotta Gaspare
author_facet Agrusa Antonino
Romano Giorgio
Frazzetta Giuseppe
De Vita Giovanni
Di Giovanni Silvia
Chianetta Daniela
Di Buono Giuseppe
Sorce Vincenzo
Gulotta Gaspare
author_sort Agrusa Antonino
collection DOAJ
description Type I hiatal hernia is associated with gastroesophageal reflux disease (GERD) in 50–90% of cases. Several trials strongly support surgery as an effective alternative to medical therapy. Today, laparoscopic fundoplication is considered as the procedure of choice. However, primary laparoscopic hiatal hernia repair is associated with upto 42% recurrence rate. Mesh reinforcement of the crural closure decreases the recurrence but can lead to complications, above all nonabsorbable ones. We experiment a new totally absorbable mesh by Gore. Case. We present a case of a 65-year-old female patient with a 6-year classic history of GERD. Endoscopy revealed a large hiatal hernia and esophagitis. pH study was positive for acid reflux; esophageal manometry revealed LES intrathoracic dislocation. With laparoscopic approach, the hiatal hernia defect was identified and primarily repaired, by crural closure. Gore Bio-A Tissue Reinforcement was trimmed to fit the defect accommodating the esophagus. Nissen fundoplication was performed. Result. Bio-A mesh was easily placed laparoscopically. It has good handling and could be cut and tailored intraoperatively for optimal adaptation. There were no short-term complications. Conclusion. Crural closure reinforcement can be done readily with this new totally absorbable mesh replaced by soft tissue over six months. However, further data and studies are needed to evaluate long-term outcomes.
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spelling doaj-art-c3297ab581aa4811bc3ce83904f265812025-02-03T07:25:21ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/851278851278Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our ExperienceAgrusa Antonino0Romano Giorgio1Frazzetta Giuseppe2De Vita Giovanni3Di Giovanni Silvia4Chianetta Daniela5Di Buono Giuseppe6Sorce Vincenzo7Gulotta Gaspare8Dipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyDipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyDipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyDipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyDipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyDipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyDipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyDipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyDipartimento di Chirurgia Generale d’Urgenza e dei Trapianti d’Organo., U.O.C Chirurgia Generale e d’Urgenza, Azienda Ospedaliera Policlinico Universitario “Paolo Giaccone”, Via Liborio Giuffrè 28, Palermo, 90100 Sicily, ItalyType I hiatal hernia is associated with gastroesophageal reflux disease (GERD) in 50–90% of cases. Several trials strongly support surgery as an effective alternative to medical therapy. Today, laparoscopic fundoplication is considered as the procedure of choice. However, primary laparoscopic hiatal hernia repair is associated with upto 42% recurrence rate. Mesh reinforcement of the crural closure decreases the recurrence but can lead to complications, above all nonabsorbable ones. We experiment a new totally absorbable mesh by Gore. Case. We present a case of a 65-year-old female patient with a 6-year classic history of GERD. Endoscopy revealed a large hiatal hernia and esophagitis. pH study was positive for acid reflux; esophageal manometry revealed LES intrathoracic dislocation. With laparoscopic approach, the hiatal hernia defect was identified and primarily repaired, by crural closure. Gore Bio-A Tissue Reinforcement was trimmed to fit the defect accommodating the esophagus. Nissen fundoplication was performed. Result. Bio-A mesh was easily placed laparoscopically. It has good handling and could be cut and tailored intraoperatively for optimal adaptation. There were no short-term complications. Conclusion. Crural closure reinforcement can be done readily with this new totally absorbable mesh replaced by soft tissue over six months. However, further data and studies are needed to evaluate long-term outcomes.http://dx.doi.org/10.1155/2014/851278
spellingShingle Agrusa Antonino
Romano Giorgio
Frazzetta Giuseppe
De Vita Giovanni
Di Giovanni Silvia
Chianetta Daniela
Di Buono Giuseppe
Sorce Vincenzo
Gulotta Gaspare
Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience
Case Reports in Surgery
title Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience
title_full Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience
title_fullStr Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience
title_full_unstemmed Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience
title_short Hiatal Hernia Repair with Gore Bio-A Tissue Reinforcement: Our Experience
title_sort hiatal hernia repair with gore bio a tissue reinforcement our experience
url http://dx.doi.org/10.1155/2014/851278
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