De Moor Véronique, Zalcman Marc, Delhaye Myriam, El Nakadi Issam
Medicosurgical Department of Hepatogastroenterology, ULB Erasme Hospital, Brussels, Belgium.
Surg Laparosc Endosc Percutan Tech. 2012 Aug;22(4):e222-5. doi: 10.1097/SLE.0b013e318253e440.
Primary repair of large hiatal hernia is associated with high recurrence rate. The use of prosthetic mesh to reinforce the cure seems to lead to less recurrence. Unfortunately, this procedure is still controversial in regard of the possible complications that may occur. We report here 3 cases of complications related to mesh placement in hiatal hernia surgery: an esophageal perforation, an intragastric migration, and a fundic erosion. When a patient complains of epigastric pain or dysphagia with no peritoneal signs, in the postoperative course of mesh placement, an upper endoscopy should be achieved to rule out those complications. The patient must be informed about the mesh placement and he must notify the endoscopist in case of an upper gastrointestinal endoscopy.
大型食管裂孔疝的一期修复术复发率较高。使用人工补片加强修补似乎可降低复发率。不幸的是，鉴于可能出现的并发症，该手术仍存在争议。我们在此报告3例食管裂孔疝手术中与补片放置相关的并发症：1例食管穿孔、1例胃内移位和1例胃底糜烂。当患者在补片放置术后出现上腹部疼痛或吞咽困难且无腹膜刺激征时，应进行上消化道内镜检查以排除这些并发症。必须告知患者有关补片放置的情况，并且患者在接受上消化道内镜检查时必须通知内镜医师。
