SynthesisSurgical endoscopy2017
Systematic review and meta-analysis of laparoscopic mesh versus suture repair of hiatus hernia: objective and subjective outcomes.
Synthesis in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
50 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Cruroplasty with or without mesh? A systematic literature review with a novel time-organized proportion meta-analysis.Surgical endoscopy · 2024Pooled it
- Evidence mapping on how to perform an optimal surgical repair of large hiatal hernias.Langenbeck's archives of surgery · 2023Pooled it
- Mesh-related complications in paraoesophageal repair: a systematic review.Surgical endoscopy · 2020Pooled it
- Delayed Gastric Emptying Following Laparoscopic Repair of Very Large Hiatus Hernias Impairs Quality of Life.World journal of surgery · 2018Trial
- Preoperative CT-based quantitative assessment of hernial SAC predicts early recurrence following primary hiatal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Article
- Reflections on surgery for hiatal hernia.Updates in surgery · 2026Review
- Non-absorbable mesh erosion following hiatal repair: a case series.Journal of surgical case reports · 2026Article
- Prospective cohort study of biological versus and synthetic meshes for laparoscopic repair of hiatal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Evaluating the Role of PhasixST™ Mesh in Laparoscopic Repair of Large Hiatal Hernias: Surgical Technique and Comprehensive Review of the Literature.Journal of clinical medicine · 2025Review
- Removal of the sac during surgery for the repair of "giant" paraesophageal hernias.World journal of gastrointestinal surgery · 2025Article
- 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
- Effectiveness of anterior gastropexy with mesh reinforcement in reducing the recurrence of giant hiatal hernia.Surgical endoscopy · 2025Article
- Article
- Is mesh essential in laparoscopic hiatal hernia repair? analysis of 30-day outcomes from the ACS-NSQIP database over eight years.Frontiers in surgery · 2025Article
- PROsthetic MEsh Reinforcement in elective minimally invasive paraesophageal hernia repair (PROMER): an international survey.Updates in surgery · 2024Article
- Comparative anatomic and symptomatic recurrence outcomes of diaphragmatic suture cruroplasty versus biosynthetic mesh reinforcement in robotic hiatal and paraesophageal hernia repair.Surgical endoscopy · 2024Article
- Patients report significant improvement in quality of life following hiatal hernia repair-despite recurrence.Surgical endoscopy · 2024Article
- Optimizing outcomes in paraesophageal hernia repair: a novel critical view.Surgical endoscopy · 2024Article
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundHiatus hernia (HH) 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 (QOL) after mesh versus suture repair are debated. The aim of this meta-analysis was to determine HH recurrence following mesh-augmentation versus suture repair. Secondary aims were to compare complications, mortality, QOL and GERD symptoms following different repair techniques.
methodsA systematic literature search of the PubMed, Medline, Embase, Cochrane Library, and Springer database was performed to identify relevant studies comparing mesh-augmentation versus suture repair of the esophageal hiatus. Data pertinent to the benefit versus risk outcomes for these techniques were extracted and compared by meta-analysis. The odd ratio (OR) and mean differences (MD) with 95% confidence intervals were calculated.
resultsEleven studies (4 randomized, 9 non-randomized) comparing mesh (n = 719) versus suture (n = 755) repair were identified. Mesh-augmentation was associated with a reduced overall recurrence rate compared to suture repair [2.6 vs. 9.4%, OR 0.23 (95% CI 0.14-0.39), P < 0.00001]. There was no significant difference in the incidence of complications (P = 0.400) between groups. Improvement in QOL measured by SF-36 was greater following biological mesh-augmentation compared to suture repair (MD = 13.68, 95% CI 2.51-24.85, P = 0.020), as well as GERD-HRQL. No differences were seen for the GIQLI scores with permanent mesh (P = 0.530). Dysphagia improvements were better following suture repair (MD = 1.47, 95% CI 0.20-2.74, P = 0.020).
conclusionsMesh repair of HH conferred some advantages and disadvantages at short-term follow-up. Compared to a suture repair alone, mesh-augmentation might be associated with less short-term recurrences, and biological mesh was associated with improved short-term QOL. However, these advantages were offset by more dysphagia. Long-term outcomes are still needed to determine the place of mesh repair of HH.
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