Mini Microscope

Recent evidence supports the use of prosthetic reinforcement material during laparoscopic hiatal hernia repair; however, the search for appropriate prosthetic materials is still under investigation. In this article, the technical feasibility and the short-term outcomes of the use of polyester composite mesh for crural reinforcement was determined. A small series of patients with large paraesophageal hiatal hernias underwent laparoscopic repair with mesh (5 males; mean age = 62 ± 10 years; mean body mass index = 29 ± 1 kg/m², and mean American Society of Anesthesiologists = 3 ± .4). There were no postoperative complications, deaths, or evidence of hernia recurrence documented by barium study at a median follow-up of 9 months. The use of the polyester composite mesh is technically feasible, has excellent intracorporeal handling characteristics, and holds suture readily. The short-term outcomes of the use of the polyester composite mesh for paraesophageal hernia repair reinforcement appeared to be favorable and are encouraging.

        AMERICAN BOARD CERTIFIED PROSTHODONTIST

What is the difference between Cosmetic and Aesthetic Dentistry?

AESTHETIC CERAMIC CROWNS ALSO LOOK ATTRACTIVE FROM THE INSIDE