Abstract
Successful repair of large hiatal hernia is often based on objective recurrence rates and, as a result of several studies suggesting benefit, mesh cruroplasty is now widely used. From the patient’s perspective, however, the critical outcomes are symptom relief and restoration of quality of life as well as postoperative medication use, endoscopic intervention and reoperation for recurrent symptoms and/or symptomatic hernia. Evidence supporting mesh for these outcomes and objective recurrence is low quality, recommendations for routine use of mesh for synthetic reinforcement are weak and use of mesh should remain at the surgeon’s discretion until higher quality data are available.
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Nason, K.S. (2014). Synthetic Reinforcement of Diaphragm Closure for Large Hiatal Hernia Repair. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach, vol 1. Springer, London. https://doi.org/10.1007/978-1-4471-6404-3_39
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