Reinforcing Hiatal Hernia Repair to Reduce Recurrence Rates
Revision procedures for recurrent hiatal hernia revealed that most recurrences occurred in the left-anterior quadrant of the hiatus. Posterior recurrences were also notable. Both anterior and posterior hiatal reinforcement may be necessary to decrease recurrence rates. A randomized controlled trial using a circular, bio-absorbable mesh is underway to validate this hypothesis.
Minimally invasive techniques for primary ventral hernia repair yield better patient-reported outcomes in terms of scar dissatisfaction compared to open repair, though recurrence rates differ by technique.