Open AccessIntragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection
Author(s) -
Chris Gillespie,
Alex Lap-Ki Ng,
Richard J E Skipworth,
Steven Leibman,
Garett Smith
Publication year - 2020
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_286_19
Subject(s) - medicine , surgery , foregut , laparoscopy , resection , surgical mesh , endoscopy , hiatal hernia , hernia , general surgery , reflux , disease , anatomy
The augmentation of hiatal repair for large hiatus hernia with mesh is controversial. There is some evidence that recurrence rates are less with mesh repair; however, there is a risk of mesh erosion. Complicated erosion may require complex revisional surgery and oesophagogastric resection. We present a novel approach to the treatment of oesophageal mesh erosion, by utilising a combined approach of endoscopy and intragastric laparoscopy. The symptomatic relief from this procedure may obviate the need for foregut resection in some patients.