Late mesh migration through the stomach wall after laparoscopic refundoplication using a dual-sided PTFE/ePTFE mesh.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
M Carpelan-HolmströmT Scheinin

Abstract

We report a rare complication after laparoscopic fundoplication using a dual-sided PTFE/ePTFE (Bard® Crurasoft™) mesh fixation. A 53-year-old man was re-operated for a recurrent hiatal hernia. The hiatal hernia was reinforced using a mesh. Two years later, the patient presented with serious dysphagia and weight loss. An endoscopy revealed a migrated mesh in the stomach. The mesh was excreted within the stool without notice. The PTFE/ePTFE mesh, which is designed for treating hiatal defects, is considered to have superior tissue incorporation, together with less adhesion formation and fistulation. As mesh migration into the upper gastrointestinal tract is possible, it should be used with great care in the peri-oesophageal region.

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Citations

Nov 16, 2011·Surgical Endoscopy·Eelco B WassenaarBrant K Oelschlager
Jun 18, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F E MuysomsP Pletinckx
Sep 12, 2013·World Journal of Gastroenterology : WJG·Wei ZhangMing Qiu
Mar 28, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Feussner, D Wilhelm
Oct 26, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Christine NortonGamal Mostafa
May 27, 2017·Asian Journal of Endoscopic Surgery·George Pei Cheung Yang
Dec 17, 2017·Surgical Case Reports·Kentaro YatabeYamato Ninomiya
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Jul 25, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J Li, T Cheng
Jun 2, 2018·Case Reports in Surgery·Balázs KovácsZoltán Lóderer
Mar 25, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·D WeyheA Kluge
Jun 20, 2020·Surgical Endoscopy·Calista SpiroSiva Gananadha

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