Intraluminal mesh erosion after prosthetic hiatoplasty: incidence, management, and outcomes

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
Andrés Sánchez-PernauteAntonio Torres

Abstract

The purpose of the present study was to analyze the incidence, presentation, and treatment of mesh erosion into the esophagus or stomach after mesh hiatoplasty for primary or recurrent hiatal hernia. The study is a single-institution, retrospective cohort study. From November 2005 to December 2016, 122 patients consecutively underwent mesh hiatoplasty in our department, 91 during a primary surgery and 31 for a surgical revision. Follow-up was complete for 74%. Six patients of this series were evaluated for mesh erosion. In all cases, the mesh employed was a dual-type circular one. The mean time from surgery to erosion diagnosis was 42 months (median time 46 months, interquartile range 64 months). Three patients were asymptomatic, 1 had dysphagia, 1 had reflux recurrence, and 1 presented with mediastinal perforation. The absolute erosion rate was 4.9%. For patients under surveillance, the erosion rate was 6.6%, or 1 case every 48 patient-years of follow-up. The erosion rate after primary surgery was 3% or 1/86 patient-years of follow-up, and after surgery for recurrent hernia recurrence was 16% or 1/29 patient-years of follow-up. The mesh was left in place in 2 asymptomatic cases and endoscopically removed in 2 cases. Two patien...Continue Reading

References

Sep 18, 1998·Journal of the American College of Surgeons·M A CarlsonW J Schulte
May 9, 2000·Journal of the American College of Surgeons·M HashemiC G Bremner
Feb 1, 2008·International Journal of Surgery·P Sahle GriffithAlberto Martinez-Isla
Dec 11, 2008·Surgical Endoscopy·Rudolf J StadlhuberCharles J Filipi
Dec 10, 2009·Surgical Endoscopy·Constantine T FrantzidesAlexander Frantzides
Aug 21, 2013·Surgical Endoscopy·Christina L GreeneJeffrey A Hagen
Oct 9, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kalyana NandipatiSumeet K Mittal
Mar 7, 2014·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Patrick Hamid AlizaiUwe Klinge
Sep 6, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Matthew D SpannD Brandon Williams

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Citations

Feb 29, 2020·Obesity Surgery·L C GuglielmettiG Peros
Jul 25, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J Li, T Cheng
Jun 20, 2020·Surgical Endoscopy·Calista SpiroSiva Gananadha
Apr 27, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A AiolfiD Bona

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