A Multi-center, Prospective Clinical Trial of a Hepatic Derived Porcine Surgical Mesh for the Laparoscopic Repair of Symptomatic Paraesophageal Hernias.

ConclusionThe utilization of MIROMESH for crural reinforcement during laparoscopic PEHR resulted in excellent symptomatic improvement in our multicenter trial with a 10% 2 year radiographic recurrence rate.
Source: The American Journal of Surgery - Category: Surgery Source Type: research

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Conclusion: In this series of 32 cases, laparoscopic cruroplasty with UBM graft reinforcement has been effective and durable at 12 months of followup. This technique may offer one satisfactory solution for large hiatal hernia repair concomitant with laparoscopic sleeve gastrectomy that may achieve a durable repair with low GERD symptoms. PMID: 30880900 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
Groin pain is a common complaint in the general population, with an underlying etiology that may be difficult to diagnose. Although uncommon, type I obturator hernias may be a significant source of chronic or refractory groin pain. In this review, we discuss the commonly missed findings of type I obturator hernias at CT and MRI, as well as correlate these findings with images obtained at the time of laparoscopic repair.
Source: Clinical Imaging - Category: Radiology Authors: Tags: Body Imaging Source Type: research
ConclusionsUtilization of pledgets to reinforce hiatal sutures seems safe and shows a quite low early recurrence rate compared to other methods. Long-term data will allow firm conclusions as to whether pledgeted sutures are an appropriate solution for the treatment of giant hiatal hernias.
Source: Hernia - Category: Sports Medicine Source Type: research
Conclusion: Laparoscopic paraesophageal hernia repair with biologic keyhole mesh reinforcement has a low recurrence rate and no increase in postoperative dysphagia. The traditional belief that keyhole mesh has a higher incidence of dysphagia was not evident in this series. PMID: 29551883 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
BackgroundWhilst laparoscopic repair is the most common surgical procedure for the treatment of large hiatal hernias, knowledge of long‐term outcomes (>10 years) is scarce. The aim of this study was to evaluate the long‐term results following this approach, in particular the hernia recurrence rate and the impact of repair on quality of life (QoL). MethodsPatients were identified from a prospective database. A standardized questionnaire was used to assess symptoms and a barium swallow radiograph was performed to determine anatomy. A validated QoL measure, Gastrointestinal Quality of Life Index (GIQLI) was also applie...
Source: ANZ Journal of Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research
CONCLUSIONS: TEP with no mesh fixation is safe in bilateral inguinal repairs. Early mesh displacement is minimal. This technique can be safely used in most patients with inguinal hernia. PMID: 28904521 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
ConclusionAmong five common methods of measuring abdominal wall hernia defect, sizes are only weakly to moderately correlated. Further studies are needed to determine which method results in optimally sized abdominal wall prostheses and superior ventral hernia repair.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Conclusions Selective mesh cruroplasty was not associated with differences in symptom outcomes or radiographic recurrence rates during laparoscopic PEH repair. Radiographic recurrence was associated with dissatisfaction, emphasizing the need for continued focus on reducing recurrences.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Conclusions Selective mesh cruroplasty was not associated with differences in symptom outcomes or radiographic recurrence rates during laparoscopic PEH repair. Radiographic recurrence was associated with dissatisfaction, emphasizing the need for continued focus on reducing recurrences. Summary for Table of Contents There is equipoise regarding the routine use of mesh for crural reinforcement during laparoscopic paraesophageal hernia repair. Selective use of mesh in nearly 800 patients was associated with similar rates of symptom resolution and hernia recurrence. Hernia recurrence was associated with patient dissatisfaction...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Conclusion An incarcerated Bochdalek hernias associated with increased intra-abdominal pressure is an uncommon clinical finding in an adult, and laparoscopic repair of an incarcerated Bochdalek hernia is safe, feasible, and an excellent option as it is minimally invasive.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
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