Hiatal hernias occur due to a loss of tension at the point where the esophagus enters the abdomen and...
Endoscopic Hiatal Hernia Repair Systems
Evolution of Endoscopic Hiatal Hernia Repair Systems
Most recently, the endoscopic hiatal hernia repair has been developed, which involves specialized cameras and staplers. Going through the mouth (transoral route), surgeons travel down the esophagus and into the stomach to perform the repair, avoiding external incisions altogether.
With few small or no incisions, patients have quicker recovery times and less post operative pain. With respect to the hiatal hernia repair, advancements in surgical technology including instrumentation, delivery systems, stapling devices, and surgical mesh have revolutionized the treatment of hiatal hernia as well as many other disease processes.
EsophyX by EndoGastric Solutions is a modern technology that utilizes the endoscopic approach to hiatal/paraesophageal hernia repairs. More specifically, the EsophyX device is a transoral technology, allowing the instruments that visualize and repair the hernia to be passed through the mouth, down the esophagus, and into the stomach. The great benefit of this technology is that it allows the endoscopic hiatal hernia repair to be performed without any incisions (Transoral Incisionless Fundoplication or TIF).
The TIF procedure is typically performed in the outpatient setting under general anesthesia and involves the reduction of the hernia via the delivery of the EsophyX into the patients’ stomach and repair of the defect via placement of SerosaFuse fasteners. This device is indicated for the management of chronic GERD (usually secondary to a hiatal hernia) in patients who have experienced no relief with current medications and are hesitant about more invasive methods of surgical repair.