“Hiatus hernia contributes to the pathophysiology of gastroesophageal reflux disease (GERD). Mesh-augmentation of surgical repair might be associated with a reduced risk of recurrence and GERD. However, recurrence rates, mesh-associated complications and quality of life after mesh versus suture repair are debated. The aim of this meta-analysis was to determine HH recurrence following mesh-augmentation versus suture repair.”

“Our meta-analysis suggests that mesh-augmentation should at least be considered for repair of HH. Compared to primary suture repair, mesh repair of HH appears to be associated with a lower recurrence risk at short-term follow-up, a similar pattern of complications and reflux symptoms, but perhaps offset by more dysphagia. Biological mesh was also associated with better short-term QOL scores

Zhang C, et al Systematic review and meta-analysis of laparoscopic mesh versus suture repair of hiatus hernia: objective and subjective outcomes. Surg Endosc. 2017 Dec;31(12):4913-4922.