Mesh migration into the esophageal wall after mesh hiatoplasty: comparison of two alloplastic materials

Abstract

Experimental data suggest that more knowledge is necessary to assess the optimal size, structure, and position of prosthetic materials for mesh hiatoplasty. The indication for mesh implantation in the hiatal region should be carried out very carefully.

Comet-Tail-Like Inflammatory Infiltrate to Polymer Filaments Develops in Tension-Free Conditions

“…For instance, in case of repairing hiatus hernias, foreign body response can lead to excessive fibrosis, which can cause oesophageal stenosis. Migration of foreign biomaterial can cause erosion of the oesophagus and other organs [1,2]. The intensity of inflammation and fibrosis can be attenuated by the use of meshes with a modified textile structure or with a modification of the polymer used itself.…”

“…The intensity of inflammation and fibrosis can be attenuated by the use of meshes with a modified textile structure or with a modification of the polymer used itself. However, recent animal experiments could show a high rate of mesh migration and oesophageal erosion even with these large pore meshes [1,2]. …”

Outcome for Asymptomatic Recurrence Following Laparoscopic Repair of Very Large Hiatus Hernia

“…Esophageal lengthening adds complexity to the surgical repair, and is accompanied by a risk of gastrointestinal leakage and poor functional results 16 . Complications associated with the use of mesh to repair the hiatus include mesh erosion into the esophageal lumen, stenosis at the hiatus, and esophageal obstruction 15,27 . Revisional surgery following mesh placement is also difficult, and mesh erosion into the esophagus will often lead to esophagectomy 15 .…”

Pressure of the lower esophageal sphincter as a prognostic test result of antireflux surgery

“…Большинство авторов сходятся во мнении, что аллопластика ПОД хоть и чревата возможными ос-ложнениями [18][19][20][21][22], но необходима при большом размере грыжевого дефекта в диафрагме.…”