The Use of Mesh in Laparoscopic Large Hiatal Hernia Repair: A Survey of European Surgeons

Overview

Journal Surg Laparosc Endosc Percutan Tech

Specialties Gastroenterology
General Surgery
Radiology

Date 2015 May 29

PMID 26018050

Citations 12

Authors

Edgar J B Furnee

C Daniel Smith

Eric J Hazebroek

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of this study was to evaluate the current opinion of the individual European surgeons on the use of mesh in large hiatal hernia repair.

Methods: A Web-based questionnaire was e-mailed to European upper gastrointestinal surgeons identified by the European Association for Endoscopic Surgery.

Results: The questionnaire was completed by 165 surgeons. Mesh is routinely applied by 24 respondents (14.5%), selectively by 128 (77.6%), never used by 11 (6.7%), and 2 failed to respond. A polypropylene mesh is used by 81 (52.6%), polyester by 24 (15.6%), PTFE by 12 (7.8%), ePTFE by 49 (31.8%), and biomesh by 43 respondents (27.9%). A vast variation in mesh configuration and positioning is used. Esophageal erosions were encountered by 33 (20.0%) and esophageal stenosis due to dense fibrosis by 34 (20.6%).

Conclusions: The results of this survey are very instructive for the individual surgeons throughout the world as these illustrate how colleagues in Europe handle the controversial issues in large hiatal hernia repair.

Citing Articles

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Nguyen C, Tovmassian D, Isaacs A, Gooley S, Falk G Hernia. 2023; 27(6):1543-1553.

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Management of paraesophageal hiatus hernia: recommendations following a European expert Delphi consensus.

Gerdes S, Schoppmann S, Bonavina L, Boyle N, Muller-Stich B, Gutschow C Surg Endosc. 2023; 37(6):4555-4565.

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Large hiatus hernia: time for a paradigm shift?.

Rajkomar K, Berney C BMC Surg. 2022; 22(1):264.

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Hiatal hernia repair: prevention of mesh erosion and migration into the esophagogastric junction.

Braghetto I, Korn O, Rojas J, Valladares H, Figueroa M Arq Bras Cir Dig. 2020; 33(1):e1489.

PMID: 32428134 PMC: 7236328. DOI: 10.1590/0102-672020190001e1489.