Endoscopic Removal of Migrated Nissen Fundoplication Mesh

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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

Künye