title: Laparoscopic circular biomesh hiatoplasty during paraesophageal hernia repair.
abstract: Laparoscopic approaches for paraesophageal hernia repair and the use of prosthetic reinforcement materials during crural repair have become standard. However, the search for the optimal prosthetic material and techniques for placement and fixation methods are still controversial and under investigation. The authors aimed to determine the technical feasibility of the use of human acellular dermal matrix for hiatoplasty in a circular fashion during paraesophageal hernia repair in a small series of patients. The short-term outcomes of patients who underwent laparoscopic repair of large paraesophageal hernias with biomesh circular hiatal reinforcement were analyzed. Laparoscopic circular hiatal reinforcement with acellular dermal matrix is feasible and reproducible with no associated short-term morbidity. The acellular dermal matrix mesh is very elastic and has excellent intracorporeal handling characteristics during hiatoplasty.
authors.affiliation: Minimally Invasive Surgery, Veteran Affairs North Texas Health Care System, Dallas, Texas 75216, USA. esteban.varela@utsouthwestern.edu
authors.forename: J Esteban
authors.initials: JE
authors.lastname: Varela
authors.forename: Samuel P
authors.initials: SP
authors.lastname: Jacks
mesh_terms: D000368:Aged; D001672:Biocompatible Materials / Q000627:therapeutic use*; D015331:Cohort Studies; D003094:Collagen / Q000627:therapeutic use*; D005240:Feasibility Studies; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: C440568:Alloderm; D001672:Biocompatible Materials; D003094:Collagen