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Related Experiment Videos

Mesh in the hiatus: a controversial issue.

Eduardo M Targarona1, Gali Bendahan, Carmen Balague

  • 1Service of Surgery, Hospital de Sant Pau, Autonomous University of Barcelona, Barcelona, Spain. atargarona@hsp.santpau.es

Archives of Surgery (Chicago, Ill. : 1960)
|December 22, 2004
PubMed
Summary

Prosthetic mesh use in laparoscopic paraesophageal hernia repair appears safe and effective for preventing recurrence. Selective use based on clinical experience is recommended, as past fears have not been confirmed by available data.

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Area of Science:

  • Gastrointestinal surgery
  • Surgical innovation
  • Hernia repair techniques

Background:

  • Paraesophageal hernias present a significant surgical challenge.
  • Recurrence after surgical repair remains a concern.
  • Laparoscopic approaches offer minimally invasive options.

Purpose of the Study:

  • To review current literature on prosthetic mesh use for paraesophageal hernia repair.
  • To analyze the safety and efficacy of mesh in preventing recurrence.
  • To assess the available evidence regarding long-term outcomes and complications.

Main Methods:

  • Comprehensive review of English-language literature.
  • Analysis of case reports, series, and opinion articles.
  • Evaluation of study types and reported outcomes.

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Main Results:

  • Mesh use in hiatal repair is generally safe and effective in preventing recurrence.
  • Limited comparative or randomized trials exist.
  • Long-term data are scarce, and infrequent severe complications are possible.

Conclusions:

  • Selective use of mesh is advised, guided by clinical judgment.
  • Current evidence suggests mesh is safe, contrary to earlier concerns.
  • Further research is needed to fully understand long-term outcomes.