LAPAROSCOPIC MANAGEMENT OF GIANT PARAESOPHAGEAL HERNIA WITH A SILICONE-COATED BIFACIAL MESH
Abstract
BACKGROUND. Paraesophageal hernias are relatively uncommon. The incidence of this disease has increased recently, and esophageal hernias now account for 5–10% of all hiatus hernias. Surgical treatment is recommended for all patients with this disease because of high risk of complications: strangulation or perforation.
CASE REPORT. A 44-year-old male patient with a giant and symptomatic paraesophageal hernia. The diagnosis was confirmed by instrumental examination. We performed laparoscopic repair using silicone-coated polypropylene bifacial mesh. The postoperative period was uneventful.
CONCLUSION. The laparoscopic approach may be successfully used as a therapeutic option in the treatment for hiatal hernias. Our clinical experience showed, that the technique appeared to be valid and safe. In cases of large hiatal hernia with a defect greater than 5 cm, it is recommended to apply the mesh in order to minimize the recurrence rate.
About the Authors
S. Unguryanu
State Medical University of Medicine and Pharmacy n.a. nicolae Testemitanu
Moldova, Republic of
Moldova, Republic of
N. Shipitko
State Medical University of Medicine and Pharmacy n.a. nicolae Testemitanu
Moldova, Republic of
Associate Professor at the Department of Surgery no. 4
Moldova, Republic of
Associate Professor at the Department of Surgery no. 4
N. Gladun
State Medical University of Medicine and Pharmacy n.a. nicolae Testemitanu
Moldova, Republic of
Moldova, Republic of
C. Lepadatu
State Medical University of Medicine and Pharmacy n.a. nicolae Testemitanu
Moldova, Republic of
Moldova, Republic of
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Review
For citations:
Unguryanu S., Shipitko N., Gladun N., Lepadatu C. LAPAROSCOPIC MANAGEMENT OF GIANT PARAESOPHAGEAL HERNIA WITH A SILICONE-COATED BIFACIAL MESH. Russian Sklifosovsky Journal "Emergency Medical Care". 2016;(4):87-91. (In Russ.)
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