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Updated: Jun 3, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Hiatal mesh repair--current status.
Fernando A M Herbella1, Marco G Patti, Jose C Del Grande
1Department of Surgery, Esophagus and Stomach Division, Escola Paulista de Medicina, UNIFESP, Sao Paulo, Brazil. herbella.dcir@epm.br
Summary
Hiatal mesh repair (HMR) offers better outcomes than simple hiatal closure for antireflux operations, with few complications when performed by experienced surgeons. Further research is needed to identify optimal techniques and patient selection criteria.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Hernia Repair
Background:
- Cruroplasty (hiatoplasty) is considered essential in antireflux operations.
- Gastric herniation through the hiatus is a common cause of antireflux surgery failure.
- Surgeons face a dilemma between recurrence risk and complications of prosthetic hiatal reinforcement.
Purpose of the Study:
- To review the literature and evaluate the current status of hiatal mesh repair (HMR).
- To assess indications, techniques, complications, and results of HMR.
Main Methods:
- Systematic literature review.
- Analysis of available data on hiatal mesh repair outcomes and complications.
Main Results:
- Hiatal mesh repair (HMR) shows better results compared to simple hiatal closure.
- Mesh-related complications are infrequent relative to the number of procedures performed.
- Complications were more common in earlier cases, suggesting a learning curve for skilled foregut surgeons.
Conclusions:
- Hiatal mesh repair (HMR) is supported for use by skilled foregut surgeons.
- Selective use of HMR may be appropriate.
- Further studies are required to identify patients at risk for recurrence or mesh complications and to establish the ideal mesh type and implantation technique.
