TITLE:
Type III/Type IV Giant Para-Oesophageal Herniae: Our Technique of Gastropexy with Biological Prosthesis
AUTHORS:
Kassem Alubaidi, Ashish Kiran Shrestha, Meera Joshi, Sanjoy Basu
KEYWORDS:
Giant Para-Oesophageal Herniae, Hiatal Defect, Biological Mesh, Gastropexy
JOURNAL NAME:
Surgical Science,
Vol.7 No.5,
May
11,
2016
ABSTRACT: Objective: To present our
technique of laparoscopic repair of giant para-oesophageal hernia with
biological prosthesis (porcine dermis). Method: Our technique involves creating
a pneumoperitoneum with standard port placement for anti-reflux surgery,
mediastinal sac dissection and excision, crura-plasty, tension free placement
of the biological prosthesis for hiatal reinforcement, fundoplication and
gastropexy. Conclusion: Our technique of laparoscopic repair of giant para-oesophageal
hernia with biological mesh is feasible and safe with acceptable morbidity and
outcome.