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Prosthetic Hiatal Closure During Laparoscopic Nissen Fundoplication—Reply
Frank A. Granderath, MD;
Rudolph Pointner, MD
Arch Surg. 2007;142(11):1111.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In reply
We appreciate the interest of Dr Csendes in our article and thank him for his comments. As well as in previous studies, the key aspect of this article was to focus on the effect of the use of a prosthetic mesh for hiatal closure during laparoscopic antireflux surgery (LARS). Recent publications could prove the beneficial effect of a hiatal mesh application regarding the postoperative hiatal hernia recurrence with or without intrathoracic migration of the fundic wrap.1-2 However, there is still discussion about the size or shape of these meshes. In our mind, the reason for using a small mesh is to ensure a sufficient closure of the hiatal crura on the one hand and minimize the risk for esophageal erosion or mesh migration on the other hand. In our own experience with a prospective randomized trial comparing patients who underwent LARS . . . [Full Text of this Article] AUTHOR INFORMATION
RELATED LETTER
Prosthetic Hiatal Closure During Laparoscopic Nissen Fundoplication
Attila Csendes
Arch Surg. 2007;142(11):1110-1111.
EXTRACT
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Impact of Laparoscopic Nissen Fundoplication With Prosthetic Hiatal Closure on Esophageal Body Motility: Results of a Prospective Randomized Trial
Frank A. Granderath, Thomas Kamolz, Ursula M. Schweiger, and Rudolph Pointner
Arch Surg. 2006;141(7):625-632.
ABSTRACT
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