Partial transmural gastroesophageal migration of polypropylene mesh after surgery for a recurrent hiatal hernia

Associating prosthetic cruroplasty with fundoplication has become the standard procedure for GERD with LHH: in fact, the use of mesh repair is associated with fewer recurrences than simple closure. However, this intervention is not exempt from complications (less than 2%) such as fibrosis and stenosis of the hiatus. Transmural migration of the mesh through the gastric or the esophageal wall is another specific but infrequent problem. As of 2015, only 2 and 8 cases have been described respectively for polypropylene and PTFE dual meshes.