Transmural mesh fistula due to composite mesh after Nissen fundoplication

Nissen fundoplikasyonunda kullanılan kompozit mesh sonrası gelişen transmural mesh fistülü

  • Mahmut Sertan Kapaklı Maltepe University Faculty of Medicine, Department of General Surgery, Istanbul, Turkey
  • Feride Sinem Akgün Maltepe University Faculty of Medicine, Department of Emergency Medicine, Istanbul, Turkey
  • Sina Mokhtare Maltepe University Faculty of Medicine, Department of General Surgery, Istanbul, Turkey
Keywords: Emergency department, gastroesophageal reflux, hiatal hernia, mesh, Nissen fundoplication, surgery

Abstract

Laparoscopic approaches are now commonly used to treat gastroesophageal reflux disease. Some of the postoperative complications are specific to both open and laparoscopic Nissen fundoplication such as esophageal and gastric perforations, pneumothorax and esophago-gastric fistulas. It can be treated conservatively with anti-secretory agents or endoscopically with clip application. We reported a patient who developed fistula after laparoscopic Nissen fundoplication and was reoperated.

 

ÖZET

Günümüzde laparoskopik yaklaşımlar gastroözofagealreflü hastalığını tedavi etmek için sıklıkla kullanılmaktadır. Açık ve laparoskopikNissenfundoplikasyonlarına özgü postoperatif komplikasyonların bazıları özofageal ve gastrikperforasyonlar, pnömotoraks ve özofagus mide fistülleridir. Bu durum anti-sekretuvar ajanlarla konservatif olarak veya klips uygulaması ile endoskopik olarak tedavi edilebilir. Laparoskopik Nissen fundoplikasyonu sonrası fistül gelişen ve tekrar opere edilen bir hastayı sunduk.

Author Biographies

Mahmut Sertan Kapaklı, Maltepe University Faculty of Medicine, Department of General Surgery, Istanbul, Turkey

Maltepe University Faculty of Medicine, Department of General Surgery, Istanbul, Turkey

Feride Sinem Akgün, Maltepe University Faculty of Medicine, Department of Emergency Medicine, Istanbul, Turkey

Maltepe University Faculty of Medicine, Department of Emergency Medicine, Istanbul, Turkey

Sina Mokhtare, Maltepe University Faculty of Medicine, Department of General Surgery, Istanbul, Turkey

Maltepe University Faculty of Medicine, Department of General Surgery, Istanbul, Turkey

Published
2019-01-05
Section
Articles