Mesh fixation by tacker during antero-hiatal-hernia repair can lead to pericardial effusion, suggesting alternative fixation methods should be considered.
Tacker fixation near the pericardium may cause effusion; case report leaves open safer hiatal hernia mesh techniques.
We present a case report of a 66-year-old female who underwent antero-hiatal-hernia repair by laparoscopy. After dissection to make a direct suture, too much tension on tissues lead us to use a mesh fixed by tacker. In the follow-up our patient developed thoracic pain. We diagnose a pericardial effusion. Different other manner than tacker should be used to avoid this kind of complication.
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Chermat et al. (2020) studied this question.
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