Endoscopic Removal of Migrated Nissen Fundoplication Mesh
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Dosyalar
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Duzce University Medical School
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Laparoscopic Nissen fundoplication is known to be a safe and feasible method in the treatment of hiatal hernias. However, a recurrence rate of 42% has been reported. Using mesh repair in patients undergoing Nissen fundoplication has shown fewer recurrence rates than the primary suture, even though there have been few complications reported. Some complications that may occur with mesh placement are; severe fibrosis, esophageal strictures, esophageal perforations, mesh migration to the upper gastrointestinal tract, and mesh erosion in the intestinal wall, etc. In this report, the migration of the leathery esophagus developed after about 11 years was presented. In such cases, patients may have several surgical options. Among these options, the mesh was completely removed endoscopically. No further surgery was required. In conclusion, it is recommended to use a very selective mesh in the laparoscopic repair of the hiatal hernias, considering the surgeon's experience, hiatus anatomy, and patient's symptoms. © 2022, Duzce University Medical School. All rights reserved.
Açıklama
Anahtar Kelimeler
endoscopic removal, mesh migration, Nissen fundoplication, abdominal pain, adult, Article, case report, cell migration, clinical article, dysphagia, endoscopy, esophagus perforation, esophagus stenosis, female, fibrosis, gastroesophageal reflux, gastrointestinal endoscopy, hiatus hernia, hospitalization, human, middle aged, Nissen fundoplication, recurrence risk, surgeon, upper gastrointestinal tract
Kaynak
Düzce Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
24
Sayı
3