ArticleSurgical endoscopy2015
Long-term outcomes of radiologic recurrence after paraesophageal hernia repair with mesh.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- BIO-A versus Phasix biosynthetic mesh in minimally invasive hiatal hernia repair: systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Efficacy and safety of mesh reinforced cruroplasty with Phasix™ ST vs. Bio-AHernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Cruroplasty with or without mesh? A systematic literature review with a novel time-organized proportion meta-analysis.Surgical endoscopy · 2024Pooled it
- Hiatal hernia repair with biosynthetic mesh reinforcement: a qualitative systematic review.Surgical endoscopy · 2023Pooled it
- Does bioabsorbable mesh reduce hiatal hernia recurrence rates? A meta-analysis.Surgical endoscopy · 2023Pooled it
- Total versus partial posterior fundoplication in the surgical repair of para-oesophageal hernias: randomized clinical trial.BJS open · 2022Trial
- Long-term objective hiatal hernia recurrence after magnetic sphincter augmentation versus laparoscopic fundoplication: a multicenter cohort study of moderate and large hiatal hernias.Surgical endoscopy · 2026Article
- Article
- Association Between Large Hernia Size and Severe Postoperative Complications After Type III/IV Hiatal Hernia Repair.Cureus · 2025Article
- Article
- 3D mesh-augmented hiatal hernia repair in patients with GERD: A 3-year single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Surgical strategies for recurrent hiatal hernia: three-point fundoplication fixation.BMC surgery · 2025Article
- Dynamics of hiatal hernia recurrence: how important is a composite crural repair?Hernia : the journal of hernias and abdominal wall surgery · 2024Review
- Hiatal hernia reporting: time to remove subjectivity?Surgical endoscopy · 2024Article
- Recurrence in Paraesophageal Hernia: Patient Factors and Composite Surgical Repair in 862 Cases.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Resolution and recurrence of anemia following repair of paraesophageal hernias.Surgical endoscopy · 2023Article
- Novel "starburst" mesh configuration for paraesophageal and recurrent hiatal hernia repair: comparison with keyhole mesh configuration.Surgical endoscopy · 2023Article
- Medium-term safety and efficacy profile of paraesophageal hernia repair with Phasix-STHernia : the journal of hernias and abdominal wall surgery · 2022Observational
- Characteristics and outcomes of patients undergoing paraesophageal hernia repair with selective use of biologic mesh.Surgical endoscopy · 2022Article
- Autologous Posterior Rectus Sheath as a Vascularized Onlay Flap: a Novel Approach to Hiatal Hernia Repair.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionParaesophageal hernia (PEH) repair has a high radiologic recurrence rate, even with the use of biologic mesh as a prosthetic buttress to reinforce the primary crural repair. This review was done to evaluate outcomes after PEH repair with mesh.
methodsA retrospective analysis was done of all patients who underwent PEH repair with mesh at our institution between December 2004 and March 2013. Patients were reviewed for evidence of recurrence on upper gastrointestinal studies (UGI). Time-specific, mesh-specific, and size-specific recurrence was analyzed as well as pre- and postoperative symptom scores.
resultsA total of 209 patients underwent PEH repair with mesh. Mean follow-up was 25 months (range 0-101). In all cases, an absorbable mesh was used (159 Alloderm, 35 BioA, 15 Strattice). One hundred and fifty-six (75 %) were 5 cm or larger. Of the patients, 166 (79 %) had UGIs available to review for radiologic recurrence. Total recurrence was 21 % (n = 35). No mesh erosions were seen. Recurrence rates increased over time from 16 % (n = 23) at 1 year up to 39 % after 5-year follow-up (n = 11). Recurrence rates were higher for large hernias (23 vs. 16 %). The median size of the recurrence was 4 cm (range 2-7 cm). Overall, patients showed significant improvement in their symptom scores. At long-term follow-up, heartburn had 70.6 % reduction (p < 0.05) and regurgitation had 76.5 % reduction (p < 0.05). There was no significant difference in postoperative symptom scores between patients with or without radiologic recurrence.
conclusionsIn this study, PEH repair with mesh was safe and effective at controlling symptoms over the long term. Radiologic recurrence rate increased over time and was highest in patients with hernias >5 cm. Therefore, in our experience, PEH repair with mesh is a safe therapy and though radiologic recurrence does increase with time, symptom resolution is maintained.
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