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Successful endoscopic mesh removal after laparoscopic Nissen fundoplication
- Source :
- Europe PubMed Central, Scopus-Elsevier, Revista Española de Enfermedades Digestivas v.104 n.11 2012, SciELO España. Revistas Científicas Españolas de Ciencias de la Salud, instname
- Publication Year :
- 2012
- Publisher :
- SciELO Espana/Repisalud, 2012.
-
Abstract
- A 72-year-old male was admitted because of dysphagiafor solids and liquids. He had undergone a laparoscopic Nis-sen fundoplication due to erosive esophagitis and hiatal her-nia. Three years later, due to symptomatic recurrence of thehernia, surgery with placement of a polypropylene mesh wasindicated. After four years he developed epigastric pain anddysphagia for liquids. Gastroduodenoscopy showed apolypropylene mesh occluding almost all the esophageallumen (Fig. 1).The symptoms worsened, with dysphagia forsolids and liquids, with weight loss. First of all, we decidedto remove the mesh endoscopically.A first attempt was doneby exerting strong traction on the mesh with biopsy forcepswithout any result. At this point we looked for each one ofthe blue Prolene 3/0 (Fig. 2A) sutures and cut them with endo -scopic scissors FS – 3L1 and FS – 5U - 1 (Fig. 2B) (Olympus,Tokyo, Japan). The mesh was extracted successfully in two
- Subjects :
- Male
medicine.medical_specialty
business.industry
medicine.medical_treatment
Gastroenterology
Fundoplication
General Medicine
Surgical Mesh
Nissen fundoplication
Dysphagia
Epigastric pain
Surgery
Polypropylene mesh
Hernia, Hiatal
medicine
Humans
Laparoscopy
medicine.symptom
business
Erosive esophagitis
Device Removal
Prolene
Aged
Subjects
Details
- ISSN :
- 11300108
- Volume :
- 104
- Database :
- OpenAIRE
- Journal :
- Revista Española de Enfermedades Digestivas
- Accession number :
- edsair.doi.dedup.....384ed491f31c51ac858b6d446452ade0