Composite mesh repair of a large paraesophageal hiatal hernia

Marco Casaccia, Paolo Torelli, Bianca Maria Troilo, Alfredo Savelli, Umberto Valente

Research output: Contribution to journalArticlepeer-review


We describe the first experience in Italy with a new pre-cut composite polytetrafluoroethylene (PTFE)/expanded PTFE (ePTFE) prosthesis designed for the hiatal region. A 78-year-old female patient with a large paraesophageal hiatal hernia with migration of the left transverse colon inside the hiatal defect (type IV hernia) received laparoscopic repair by means of the composite V-shaped mesh. The procedure was completed laparoscopically and a partial fundoplication was performed. A favorable outcome was assessed by barium swallow radiograms performed on postoperative day 7. A complete resolution of the symptoms was noted at follow-up 1 month postoperatively. This report confirms the feasibility, effectiveness, and added advantages of the composite V-shaped mesh in tension-free repair of a large hiatal hernia.

Original languageEnglish
Pages (from-to)381-385
Number of pages5
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Issue number4
Publication statusPublished - Aug 2006

ASJC Scopus subject areas

  • Surgery

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