Laparoscopic anti-reflux surgery with biological mesh in treatment of gastroesophageal reflux disease / 浙江大学学报·医学版

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the application of biological mesh in laparoscopic anti-reflux procedure for gastroesophageal reflux disease (GERD).</p><p><b>METHODS</b>The clinical data of 20 consecutive GERD patients underwent anti-reflux surgery in Sir Run Run Shaw Hospital from December 2012 to April 2014 were retrospectively analyzed. The laparoscopic hiatal repair with 360 fundoplicaiton was performed and the biological mesh (BiodesignTM, Surgsis) was implanted for reinforcement of hiatal repair.</p><p><b>RESULTS</b>All laparoscopic procedures were successful, no conversion and no intra-operative complications occurred. The pre-operative complains were relieved in all patients, and no recurrence was observed during 3-18 month of follow-up. Six patients got dysphagia after operation; 5 of them were controlled through medication and psychological induction; 1 received esophageal dilatation by bougie.</p><p><b>CONCLUSION</b>The application of biological mesh in laparoscopic anti-reflux procedure for gastroesophageal reflux disease is satisfactory.</p>