Samuel Cottam, Daniel Cottam, MD, Austin Cottam, Hinali Zaveri, MD, Amit Surve, MD, Walter Medlin, MD, FACS. Bariatric Medicine Institute of Utah
Introduction: Hiatal hernia repairs with mesh currently happens in approximately 30% of all hiatal hernia repairs. There is currently no consensus as to what type of mesh to use in these cases. Mesh choices are important as these range from <50 dollars to thousands of dollars to repair hiatal hernia. Our practice has been using a 50-dollar PTFE felt mesh since 2012. This paper was designed to assess this low cost mesh’s safety and efficacy profile.
Methods: We retrospectively analyzed 155 patients who had a Hiatal Hernia repair in a private practice setting between July 2012 and July 2017. Patients Demographic data was analyzed and their complications were collected and analyzed. Patient complications were measured at 1, 6, 12, 24, 36, and 48 months.
Results: There were no mesh related complications in our study group. There were eight recurring Hiatal Hernias. Three patients did not want a reoperation as their symptoms were controlled with proton pump inhibitors. Five patients had reoperations where the hiatal hernia repair was repeated.
Conclusion: Inexpensive PTFE felt mesh is not prone to erosions. Additionally, it is an effective method to treat Hiatal Hernias.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 85140
Program Number: P430
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster