Prophylactic Laparoscopic Hiatoplasty Technique with a Bioabsorbable Synthetic Tissue Regenerator in the Surgical Treatment of Gastroesophageal Reflux Disease

Abstract Introduction: Laparoscopic fundoplication has been confirmed as an effective long-term therapy in the treatment of gastroesophageal reflux disease, but has been reported that various factors and stressors1 on the diaphragm can significantly promote the failure of intervention. Different surgical techniques with synthetic nonabsorbable and biological material were used to reinforce the hiatal area and reduce esophagus' complications from the use of the mesh.2 Moreover, the placement of this material in the hiatal area (usually performed with tacks or sutures) can be difficult and dangerous, which has led surgeons to be skeptical of this technical solution. Materials and Methods: In the adult population, after suturing the diaphragmatic pillar with a nonabsorbable material no. 0, we proceeded to the reinforcement hiatoplasty. We used a preformed 7×10-cm sheet of material known as synthetic bioabsorbable tissue regenerator material (BioA Tissue Reinforcement W. L. GORE & Associates, Inc.), which we ...