Minimally invasive approach in the repair of hiatal hernias
became a standard of care during the last two decades. Laparoscopy offers
faster recovery, shorter hospital stay and less morbidity than traditional
laparotomy.
Several studies have shown higher recurrence rates after a
suture-based repair of hiatal hernias. A “tension-free” repair with
prosthetic mesh allowed
to decreased recurrence, but the use of synthetic materials produced
potentially serious problems, such as erosion and dysphagia.
Multiple reports showed reduction in short-term recurrence
rate after hiatal hernia repair with biologic grafts. However, the improvement
in hiatal hernia recurrence decreased at long-term follow-up
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