Pericardial effusion post antero-hernia repair using mesh and tacker: case report

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.