title: Resorbable synthetic mesh supported with omentum flap in the treatment of giant hiatal hernia.
abstract: Covering a large hiatal hernia with a mesh has become a basic procedure in the last few years. However, mesh implants are associated with high complication rates (esophageal erosion, perforation, fistula, etc.). We propose using a synthetic resorbable mesh supported with an omental flap as a possible solution to this problem. A 54-year-old female patient with a large hiatal defect (9 cm) was laparoscopically implanted with a synthetic resorbable mesh supported with an omental flap. The surgical procedure was successful and the patient was discharged on postoperative day 2. On a follow-up examination 6 months after surgery, she remained free of relapse or complication signs. Supporting an implanted resorbable mesh with an omental flap may be a solution to the problems posed by large esophageal hiatus defects. However, more studies based on larger patient samples and longer follow-up periods are necessary.
authors.affiliation: Digestive Surgery Department, Antequera Hospital, Málaga, Spain.
authors.forename: F J
authors.initials: FJ
authors.lastname: Pérez Lara
authors.forename: R
authors.initials: R
authors.lastname: Marín
authors.forename: A
authors.initials: A
authors.lastname: del Rey
authors.forename: H
authors.initials: H
authors.lastname: Oliva
mesh_terms: D005260:Female; D006551:Hernia, Hiatal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009852:Omentum; D013524:Surgical Flaps; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Giant hiatal hernia; Omentum; Resorbable mesh