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Intragastric laparoscopy for oesophageal eroded mesh removal: An approach to avoid resection

Authors
  • Gillespie, Carla1
  • Ng, Ada1
  • Skipworth, Richard1
  • Leibman, Steven1
  • Smith, Garett1, 2
  • 1 Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, St Leonards, Sydney, Australia
  • 2 Sydney Medical School, University of Sydney, Sydney, Australia
Type
Published Article
Journal
Journal of Minimal Access Surgery
Publisher
Wolters Kluwer - Medknow
Publication Date
Sep 17, 2020
Volume
16
Issue
4
Pages
426–428
Identifiers
DOI: 10.4103/jmas.JMAS_286_19
PMID: 32978356
PMCID: PMC7597884
Source
PubMed Central
Keywords
License
Green

Abstract

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.

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