Lee Moon-Soo, Lee Dong Kyu, Han Hyun-Young, Kim Joo Heon
Department of Surgery, Eulji University Hospital, Daejeon, Korea.
Department of Internal Medicine, Eulji University Hospital, Daejeon, Korea.
J Minim Invasive Surg. 2024 Jun 15;27(2):109-113. doi: 10.7602/jmis.2024.27.2.109.
Although the use of mesh reinforcement during large hiatal hernia repair may reduce the rate of recurrence, various mesh-related complications have been reported. A 65-year-old woman presented with dysphagia. The patient was diagnosed with a large hiatal hernia and treated with laparoscopic fundoplication and Collis gastroplasty with mesh repair. Six months after surgery, the patient presented with dysphagia and vomiting. Esophagogastroduodenoscopy showed migration of mesh material into the esophagogastric junction. We performed a proximal gastrectomy with mesh removal. The patient was discharged without any postoperative complications. Herein, we encountered a rare case requiring surgical treatment to resolve mesh-induced esophagogastric perforation after hiatal hernia repair. Mesh-associated complications, such as erosion or migration, should be considered as they may be more common than previously reported. Additionally, these complications are currently underscored in clinical practice. Regarding mesh applications, symptoms of mesh-related complications, such as dysphagia, should be carefully monitored for early detection.
尽管在大型食管裂孔疝修补术中使用补片加固可能会降低复发率，但已有各种与补片相关的并发症报道。一名65岁女性因吞咽困难就诊。该患者被诊断为大型食管裂孔疝，并接受了腹腔镜胃底折叠术和带补片修补的科利斯胃成形术治疗。术后6个月，患者出现吞咽困难和呕吐。食管胃十二指肠镜检查显示补片材料迁移至食管胃交界处。我们进行了近端胃切除术并取出补片。患者出院时无任何术后并发症。在此，我们遇到了一例罕见病例，需要手术治疗以解决食管裂孔疝修补术后补片引起的食管胃穿孔问题。应考虑补片相关并发症，如侵蚀或迁移，因为它们可能比之前报道的更为常见。此外，这些并发症目前在临床实践中未得到充分重视。关于补片的应用，应仔细监测补片相关并发症的症状，如吞咽困难，以便早期发现。
