Related Experiment Video

Updated: Dec 18, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

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Mesh-related complications in paraoesophageal repair: a systematic review

Calista Spiro1,2, Natalie Quarmby3, Siva Gananadha3,4

  • 1Calvary Bruce Public Hospital, Bruce, ACT, Australia. calista.spiro@gmail.com.

Surgical Endoscopy
|June 20, 2020
PubMed
Abstract

Insights

Mesh reinforcement in paraoesophageal hernia (PEH) repair is debated due to rare but serious complications like erosion. Synthetic meshes are frequently linked to mesh erosion, necessitating interventions.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Medical Device Safety

Background:

  • Paraoesophageal hernias (PEH) often recur, leading surgeons to consider mesh reinforcement.
  • The use of mesh in PEH repair presents a debate regarding its risks and benefits.
  • Mesh-related complications, such as migration and erosion, are critical considerations.

Purpose of the Study:

  • To systematically review mesh-related complications following paraoesophageal hernia repair.
  • To analyze the incidence and types of mesh complications reported in the literature.

Main Methods:

  • A systematic literature review was conducted from 1970 to 2019.
  • Databases searched include Medline, OVID, Embase, and Springer.
  • Included studies were case reports, case series, and observational studies detailing mesh complications.

Main Results:

  • 35 case reports/series (74 patients) and 20 observational studies (75/4200 patients) reported mesh complications.
  • The incidence of mesh-related erosions was found to be 0.035%.
  • PTFE, ePTFE, composite, and synthetic meshes were frequently associated with erosions requiring intervention.

Conclusions:

  • Mesh-related complications are rare, with dysphagia being a common symptom.
  • Synthetic meshes are more frequently associated with mesh erosion in reported cases.
  • A mesh registry is recommended for long-term data collection to ascertain true complication incidence.
Keywords:
Anti-reflux surgeryBiologic meshHiatal hernia repairLaparoscopic paraoesophageal hernia repairMesh erosionSynthetic mesh

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