Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report

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 fundopli...

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Main Authors: Moon-Soo Lee, Dong Kyu Lee, Hyun-Young Han, Joo Heon Kim
Format: Article
Language:English
Published: The Korean Society of Endo-Laparoscopic & Robotic Surgery 2024-06-01
Series:Journal of Minimally Invasive Surgery
Subjects:
Online Access:http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.109
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author Moon-Soo Lee
Dong Kyu Lee
Hyun-Young Han
Joo Heon Kim
author_facet Moon-Soo Lee
Dong Kyu Lee
Hyun-Young Han
Joo Heon Kim
author_sort Moon-Soo Lee
collection DOAJ
description 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.
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publisher The Korean Society of Endo-Laparoscopic & Robotic Surgery
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spelling doaj-art-1d04f4ea25b74700bf5b3fe7eb28372a2025-08-20T02:43:15ZengThe Korean Society of Endo-Laparoscopic & Robotic SurgeryJournal of Minimally Invasive Surgery2234-778X2024-06-0127210911310.7602/jmis.2024.27.2.109jmis.2024.27.2.109Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case reportMoon-Soo Lee0Dong Kyu Lee1Hyun-Young Han2Joo Heon Kim3Department of Surgery, Eulji University Hospital, Daejeon, KoreaDepartment of Internal Medicine, Eulji University Hospital, Daejeon, KoreaDepartment of Radiology, Eulji University Hospital, Daejeon, KoreaDepartment of Pathology, Eulji University Hospital, Daejeon, KoreaAlthough 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.http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.109esophagogastric junctionhiatal herniamesh migration
spellingShingle Moon-Soo Lee
Dong Kyu Lee
Hyun-Young Han
Joo Heon Kim
Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report
Journal of Minimally Invasive Surgery
esophagogastric junction
hiatal hernia
mesh migration
title Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report
title_full Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report
title_fullStr Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report
title_full_unstemmed Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report
title_short Mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair; how to prevent it? A case report
title_sort mesh migration into esophagogastric junction after laparoscopic hiatal hernia repair how to prevent it a case report
topic esophagogastric junction
hiatal hernia
mesh migration
url http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.109
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AT hyunyounghan meshmigrationintoesophagogastricjunctionafterlaparoscopichiatalherniarepairhowtopreventitacasereport
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