Optimal Management of Hiatal Hernia

A systematic review and meta-analysis of 45 studies on hiatal hernia management, including data from randomized controlled trials and observational studies, found that the use of mesh was associated with a lower recurrence risk (RR = 0.50, 95% CI 0.28, 0.88). Despite the overall high risk of bias in most studies, this evidence suggests that mesh use may be beneficial in reducing recurrence rates. Shared decision-making between surgeons and patients remains crucial for optimal outcomes.