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Larger Hiatal Hernia Repair with Magnetic Sphincter Augmentation

Francis P Buckley III, MD, Stephanie L Doggett, PAC. Baylor Scott & White Health

Introduction:The surgical principles for repair of larger hiatal and paraesophageal hernias are well established, however there remain many unanswered questions regarding the use of mesh and augmentation of the lower esophageal sphincter. Magnetic sphincter augmentation has been successfully and safely utilized in patients with hiatal defects <3 cm. Submitted is a video of our approach to repairing a 6cm hiatal hernia with bio absorbable mesh as well as the use of magnetic sphincter augmentation in order to restore the barrier function of the lower esophageal sphincter.

Methods and Procedures: This patient and additional data comes from an IRB approved prospectively maintained database for outcomes research. Patients treated with MSA at the time of repair of hiatal hernias >5 cm by either preoperative or intraoperative measurements. Values reported are mean (range).

Results: Successful repair of a large hiatal hernia utilizing biosynthetic mesh and magnetic sphincter augmentation of the lower esophageal sphincter.

Conclusions: Early results support repair of larger hernias following established surgical principles with the additional use of biosynthetic mesh and novel use of the magnetic sphincter augmentation device as a replacement of a traditional fundoplication in patients with normal esophageal function.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 79786

Program Number: V055

Presentation Session: Thursday Exhibit Hall Video Presentations Session 3 (Non CME)

Presentation Type: EHVideo

46

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