Kelly R Haisley, MD, Melissa L DeSouza, MD, John G Hunter, MD, FACS, James P Dolan, MD, MCR. Oregon Health and Science University
Mesh erosion is a rare and dreaded event following paraesophageal hernia repair. This complication can be associated with severe symptoms that can result in significant impact to the health and quality of life of the individual patient. Removal of an eroded mesh and subsequent reconstruction of a functional gastroesophageal junction can be a challenging endeavor. In this video, we provide a dramatic example of a single-stage definitive operation that involves takedown of the previous fundoplication, removal of the eroded mesh, closure of the gastrotomy with in-line resection of the deconstructed fundus, and a novel revision to an anterior fundoplication.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87360
Program Number: V037
Presentation Session: Foregut Videos Session
Presentation Type: Video