Related Experiment Video
Updated: Jun 4, 2025
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
ENDOSCOPIC MANAGEMENT OF MESH MIGRATION FOLLOWING HIATAL HERNIA REPAIR
Bruno Costa Martins1,2, Adrielma Athena Rodrigues Serrão Martins E Silva2, Ada Alexandrina Brom Dos Santos Soares2
1Universidade de São Paulo, Faculty of Medicine, Department of Gastroenterology - São Paulo (SP), Brazil.
Background:
The use of mesh in the repair of large hiatal hernias is still controversial. One of the most feared adverse events related to the use of mesh is erosion into the esophageal and gastric walls.
Aims:
To record the endoscopic treatment of mesh that has migrated into the gastric lumen after surgical treatment of hiatal hernia.
Methods:
The technical option was to wait for the progressive migration of the mesh into the gastric lumen, monitoring with upper digestive endoscopy, with removal by traction at the best time, with the aid of foreign body forceps.
Results:
The mesh was completely removed, and the evolution was satisfactory, without complications.
Conclusions:
In patients with mesh migration into the stomach who are oligosymptomatic and do not show signs of complications, endoscopic surveillance and subsequent removal of the foreign body can be successfully performed when the mesh is not adhered to the gastric wall, avoiding surgical procedures with high morbidity and mortality.
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