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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Laparoscopic antireflux surgery with polyglactin (vicryl) mesh
Cem Kaan Parsak1, Serap Erel, Gulsah Seydaoglu
1Department of General Surgery, Cukurova University, Adana, Turkey. cparsak@yahoo.com
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 8, 2011
Summary
Polyglactin (vicryl) mesh is effective and safe for laparoscopic antireflux surgery (LARS), offering outcomes comparable to polypropylene mesh. This study supports its use in hiatal crura repair for gastroesophageal reflux disease.
Area of Science:
- Surgical innovation in gastroesophageal reflux disease (GERD) management.
- Comparative analysis of prosthetic materials in laparoscopic surgery.
Background:
- Laparoscopic fundoplication is the standard for GERD surgical treatment.
- Ongoing debate exists regarding routine prosthetic material use and type in LARS.
Purpose of the Study:
- To evaluate polyglactin (vicryl) mesh versus polypropylene mesh in laparoscopic antireflux surgery (LARS).
- To assess symptomatic relief, patient satisfaction, and complications associated with mesh use.
Main Methods:
- Prospective randomized study involving 150 patients (75 per group).
- Patients underwent LARS with either polyglactin (vicryl) or polypropylene mesh.
- Preoperative and postoperative outcomes, including symptoms, hospitalization, operative time, complications, and recurrence, were analyzed.
Main Results:
- Polyglactin mesh demonstrated good symptomatic and clinical outcomes, similar to polypropylene mesh.
- Recurrence rates with polyglactin mesh were comparable to other materials in the literature.
Conclusions:
- Closure of hiatal crura using polyglactin (vicryl) mesh in LARS is effective and safe.
- Polyglactin mesh provides a viable prosthetic option for laparoscopic antireflux procedures.
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