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Updated: Jul 5, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Polyester composite mesh for laparoscopic paraesophageal hernia repair
Esteban Varela1, Marcelo Hinojosa, Ninh T Nguyen
1Department of Surgery, University of Texas Southwestern, Dallas, TX 75216, USA. esteban.varela@utsouthwestern.edu
Surgical Innovation
|May 2, 2008
Summary
Polyester composite mesh is a feasible prosthetic material for laparoscopic hiatal hernia repair. Short-term outcomes show no recurrence or complications, suggesting it
Area of Science:
- Surgical innovation
- Gastrointestinal surgery
- Biomaterials in medicine
Background:
- Prosthetic reinforcement is increasingly used in laparoscopic hiatal hernia repair.
- The optimal prosthetic material for crural reinforcement remains under investigation.
Purpose of the Study:
- To determine the technical feasibility and short-term outcomes of using polyester composite mesh for crural reinforcement in laparoscopic hiatal hernia repair.
Main Methods:
- Laparoscopic repair of large paraesophageal hiatal hernias using polyester composite mesh.
- Evaluation of technical feasibility, handling characteristics, and suture retention.
- Postoperative assessment for complications and hernia recurrence via barium study at a median 9-month follow-up.
Main Results:
- Polyester composite mesh demonstrated excellent intracorporeal handling and suture retention.
- No postoperative complications, deaths, or hernia recurrences were observed.
- Median follow-up was 9 months.
Conclusions:
- Polyester composite mesh is technically feasible for hiatal hernia repair.
- The material exhibits favorable short-term outcomes and is encouraging for crural reinforcement.
