A New Synthetic Bioabsorbable Prosthetic and Method of ... | 合法醫療器材資訊網

OBJECTIVE:ItiswellestablishedbyLevel1datathatmeshreinforcementofthecruralclosureforhiatalherniarepairdecreasestheriskofrecurrenceof ...

OBJECTIVE: It is well established by Level 1 data that mesh reinforcement of the crural closure for hiatal hernia repair decreases the risk of recurrence of the hernia. Most of the early studies used various synthetic meshes for repair of hiatal hernia and while they showed decreased recurrence rates, the fear of erosion of the prosthetic into the esophagus kept use of mesh for hiatal hernia repair from becoming standard of care. With the recent development of various biologic materials for hernia repair many surgeons applied these products to hiatal hernia repair and this led to the most recent randomized prospective trial showing a biologic mesh significantly decreased the recurrence rate in hiatal hernia repair. Some of the problems of biologic meshes are the high cost, the difficulty in handling these prosthetics and the difficulty in fixation of many of them. In addition, a ...