title: Composite mesh repair of a large paraesophageal hiatal hernia.
abstract: We describe the first experience in Italy with a new pre-cut composite polytetrafluoroethylene (PTFE)/expanded PTFE (ePTFE) prosthesis designed for the hiatal region. A 78-year-old female patient with a large paraesophageal hiatal hernia with migration of the left transverse colon inside the hiatal defect (type IV hernia) received laparoscopic repair by means of the composite V-shaped mesh. The procedure was completed laparoscopically and a partial fundoplication was performed. A favorable outcome was assessed by barium swallow radiograms performed on postoperative day 7. A complete resolution of the symptoms was noted at follow-up 1 month postoperatively. This report confirms the feasibility, effectiveness, and added advantages of the composite V-shaped mesh in tension-free repair of a large hiatal hernia.
authors.affiliation: Advanced Laparoscopic Unit, Department of General and Transplant Surgery, St. Martino Hospital, University of Genoa, Italy. Marco.Casaccia@unige.it
authors.forename: Marco
authors.initials: M
authors.lastname: Casaccia
authors.forename: Paolo
authors.initials: P
authors.lastname: Torelli
authors.forename: Bianca Maria
authors.initials: BM
authors.lastname: Troilo
authors.forename: Alfredo
authors.initials: A
authors.lastname: Savelli
authors.forename: Umberto
authors.initials: U
authors.lastname: Valente
mesh_terms: D000368:Aged; D020099:Coated Materials, Biocompatible / Q000627:therapeutic use; D044684:Colon, Transverse / Q000473:pathology / Q000601:surgery; D005260:Female; D018662:Fundoplication / Q000295:instrumentation; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D013526:Surgical Mesh
chemical_list: D020099:Coated Materials, Biocompatible; D011138:Polytetrafluoroethylene