Journal article
A simplified technique for intrathoracic stomach repair: laparoscopic fundoplication with Vicryl mesh and BioGlue crural reinforcement
Surgical endoscopy, v 24(3), pp 675-679
01 Mar 2010
PMID: 19690911
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Laparoscopic repair of an intrathoracic stomach has been associated with a high recurrence rate. The use of biologic or synthetic mesh to reinforce the crural repair has been shown to reduce recurrence. This study aimed to assess a simplified technique for reinforcing the crural repair using absorbable Vicryl mesh secured with BioGlue during laparoscopic repair of an intrathoracic stomach.
The charts of all patients who underwent laparoscopic repair of an intrathoracic stomach from June 2006 to March 2009 using the described technique were retrospectively reviewed. Intrathoracic stomach was defined as more than 50% of the stomach herniated into the chest. Follow-up assessment was routinely performed 1 year or more after surgery and included endoscopy, video esophagram, Bravo 48-h pH monitoring, and a gastroesophageal reflux disease (GERD)-health-related quality-of-life (HRQL) questionnaire.
A total of 35 patients (male:female = 10:25) with a mean age of 70 years (48-89 years) and a mean body mass index (BMI) of 30.4 kg/m(2) (20.4-44.8 kg/m(2)) underwent repair using this technique. The median operating time was 144 min (101-311 min), and the median hospital stay was 2 days (1-21 days). There were three conversions (8.6%) and one intraoperative complication (2.9%). Three patients (8.6%) experienced postoperative complications. No mesh-related complications occurred. Follow-up assessment 1 year or more after surgery was available for 21 of the 25 eligible patients [median follow-up period, 14 months (11-34 months)]. There were two recurrences (9.5%), one of them asymptomatic. The median GERD-HRQL score was 5 (2-28). Nearly all the patients (91.3%) were satisfied with the operation, and 96% would have it again.
Vicryl mesh secured with BioGlue is a simple and easy method for reinforcing the crural closure during laparoscopic repair of an intrathoracic stomach. The recurrence rate at 1 year is low and comparable with that of other series using biologic mesh secured with sutures or tacks.
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Details
- Title
- A simplified technique for intrathoracic stomach repair: laparoscopic fundoplication with Vicryl mesh and BioGlue crural reinforcement
- Creators
- Joerg Zehetner - College Station Medical CenterJohn C. Lipham - Southern California University for Professional StudiesShahin Ayazi - University of Southern CaliforniaArzu Oezcelik - University of Southern CaliforniaEmmanuele Abate - University of Southern CaliforniaWeisheng Chen - College Station Medical CenterSteven R. DeMeester - University of Southern CaliforniaHelen J. Sohn - Southern California University for Professional StudiesFarzaneh Banki - Southern California University for Professional StudiesJeffrey A. Hagen - Southern California University for Professional StudiesMelissa Dickey - University of Southern CaliforniaTom R. DeMeester - University of Southern California
- Publication Details
- Surgical endoscopy, v 24(3), pp 675-679
- Publisher
- Springer Nature
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000274467500029
- Scopus ID
- 2-s2.0-77649193349
- Other Identifier
- 991022048379804721
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- Web of Science research areas
- Surgery