We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.
You must be logged in to watch this video.
Login Register
  • 408
  • 2009-03-12

Laparoscopic re-operation for severe dysphagia following fundoplication and prosthetic reinforcement of the hiatus

Epublication WebSurg.com, Mar 2009;09(03). URL:
You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
Complications related to prosthetic hiatoplasty for hiatal hernia repair are more common than previously reported with no apparent relationship between mesh type and mesh configuration. The aim of this video is to show a case of mesh repair complication. A 50-year-old woman presented with severe dysphagia and important weight loss one year after redo laparoscopic Nissen fundoplication with prosthetic crural repair. At re-operation, important esophageal stenosis and angulation was found arising from the key-hole-shaped polypropylene mesh with pseudodiverticular dilatation of the distal esophagus. The esophagus was freed from the dense fibrotic capsule surrounding the prosthesis and a myotomy was performed.