Mesh at the Hiatus: Where Do We Stand Now?
Year: 2025
Type: article
Abstract: Laparoscopic hiatus hernia (HH) repair generally produces excellent outcomes, yet recurrence after primary suture cruroplasty—especially in large or recurrent hernias—remains a challenge. Mesh reinforcement has been proposed to improve durability, but its role is controversial due to risks of erosion, fibrosis, and stricture in the anatomically constrained hiatus. This review summarizes current evidence on the benefits and limitations of mesh use in HH repair, comparing synthetic, biologic, and biosynthetic materials and the techniques employed. Primary hiatal closure will be possible in most hiatus hernia repairs and this article outlines the tips and tricks one needs to follow, in order to achieve this.
Author: Inian Samarasam
Institution: Christian Medical College, Vellore
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7128430209