title: Polyester composite mesh for laparoscopic paraesophageal hernia repair.
abstract: Recent evidence supports the use of prosthetic reinforcement material during laparoscopic hiatal hernia repair; however, the search for appropriate prosthetic materials is still under investigation. In this article, the technical feasibility and the short-term outcomes of the use of polyester composite mesh for crural reinforcement was determined. A small series of patients with large paraesophageal hiatal hernias underwent laparoscopic repair with mesh (5 males; mean age = 62 +/- 10 years; mean body mass index = 29 +/- 1 kg/m2, and mean American Society of Anesthesiologists = 3 +/- .4). There were no postoperative complications, deaths, or evidence of hernia recurrence documented by barium study at a median follow-up of 9 months. The use of the polyester composite mesh is technically feasible, has excellent intracorporeal handling characteristics, and holds suture readily. The short-term outcomes of the use of the polyester composite mesh for paraesophageal hernia repair reinforcement appeared to be favorable and are encouraging.
authors.affiliation: Department of Surgery, University of Texas Southwestern, Dallas, TX 75216, USA. esteban.varela@utsouthwestern.edu
authors.forename: Esteban
authors.initials: E
authors.lastname: Varela
authors.forename: Marcelo
authors.initials: M
authors.lastname: Hinojosa
authors.forename: Ninh T
authors.initials: NT
authors.lastname: Nguyen
mesh_terms: D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011091:Polyesters; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D011091:Polyesters