Robotic and M.I.S. General Surgery Department, American Institute of Minimally Invasive Surgery, Limassol, Cyprus.
Robotic General and Oncologic Surgical Department, Interbalkan Medical Centre, Thessaloniki, Greece.
J Robot Surg. 2023 Feb;17(1):141-146. doi: 10.1007/s11701-022-01406-9. Epub 2022 Apr 9.
Evaluation of the efficacy and safety of the new monofilament fully resorbable mesh with hydrogel barrier (Phasix™ ST), for large and complex hiatal hernia repair. Between December 2017 and December 2020, 60 patients with large or complicated hiatal hernia were treated (40 robotic and 20 laparoscopic procedures). The mesh was placed after primary closure of the hiatal defect, in an onlay fashion around the esophagus, followed by 360 fundoplication. Follow-up at 3, 6, 12, 18, 24 months from intervention included clinical evaluation and upper GI endoscopy. In cases of recurrence, radiologic survey and manometry were utilized. There were no conversions to open repair or significant postoperative incidents. Over a median follow-up of 21 months (range 3-36), no recurrences or mesh related complications were observed. From our early experience, Phasix™ ST mesh seems to be safe and effective for the reinforcement of crural defects in large and complex hiatal hernia.
评估新型单丝全可吸收水凝胶防粘连网片（Phasix™ ST）治疗大型复杂食管裂孔疝的疗效和安全性。2017 年 12 月至 2020 年 12 月，对 60 例大型或复杂食管裂孔疝患者进行了治疗（40 例机器人手术，20 例腹腔镜手术）。在裂孔缺损初次关闭后，将网片以覆盖物方式置于食管周围，然后进行 360°胃底折叠术。干预后 3、6、12、18、24 个月进行随访，包括临床评估和上消化道内镜检查。如果出现复发，将进行影像学检查和测压检查。没有转为开放性修复或发生重大术后事件。中位随访 21 个月（范围 3-36 个月），未观察到复发或与网片相关的并发症。根据我们的早期经验，Phasix™ ST 网片似乎可安全有效地加强大型复杂食管裂孔疝的裂孔旁缺损。
