ENDOSCOPIC MANAGEMENT OF MESH MIGRATION FOLLOWING HIATAL HERNIA REPAIR

Area of Science:

• Gastroenterology
• Surgical Innovation
• Medical Device Complications

Background:

• Mesh use in large hiatal hernia repair remains debated.
• Mesh erosion into the esophagus and stomach is a significant concern.

Purpose of the Study:

• To document the endoscopic management of mesh migrated into the gastric lumen post-hiatal hernia surgery.
• To evaluate the efficacy of endoscopic removal for mesh migration.

Main Methods:

• Progressive migration of mesh into the gastric lumen was monitored.
• Upper digestive endoscopy guided the removal using foreign body forceps.
• Removal was timed for optimal traction and safety.

Main Results:

• Complete mesh removal was achieved.
• The patient's recovery was uneventful, with no complications.
• Endoscopic treatment proved successful in this case.

Conclusions:

• Endoscopic surveillance and removal are viable for oligosymptomatic patients with non-adherent mesh migration.
• This approach can successfully avoid high-morbidity surgical interventions.
• Minimally invasive endoscopic management offers a safe alternative for mesh complications.