Does Fundoplication at the Time of Paraesophageal Hernia Repair Reduce Postoperative Reflux?

Patients who underwent paraesophageal hernia repair without fundoplication did not report different rates of postoperative symptoms compared to those who did. The study found that fundoplication at the time of hernia repair may not reduce postoperative reflux, despite being a standard practice for sliding-type hiatal hernias. This suggests that the additional procedure may not be necessary for patients with paraesophageal hernias.