Related Experiment Video
Updated: May 18, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Paraesophageal hernia repair followed by cardiac tamponade caused by ProTacks
Wojciech Makarewicz1, Łukasz Jaworski, Maciej Bobowicz
1Department of Oncological Surgery, Academic Clinical Center, Medical University of Gdansk, Gdansk, Poland.
Abstract:
We describe a case of cardiac tamponade caused by ProTacks Autosuture used for mesh fixation during a laparoscopic Nissen operation with giant paraesophageal hernia repair. Perforations of the posterior descendent artery and epicardial vein of the right ventricle were caused by ProTacks used for Parietex Composite Mesh fixation. Protruding ProTacks were secured from inside the pericardiac sac with a synthetic vascular patch during emergency sternotomy. Quick and multidisciplinary cooperation ended with emergency cardiothoracic procedure saving the patient's life and preventing further damage to the heart muscle and its vessels.
Related Concept Videos
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Pericarditis IV: Nursing Management
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Pericarditis III: Medical Management
Hiatal Hernia
