Factors influencing paraesophageal hernia recurrence after repair

This study analyzed paraesophageal hernia repairs to identify factors influencing postoperative symptom improvement and radiographic recurrence. Propensity score matching compared initial and reoperative repairs, showing lower symptom improvement rates in reoperations but similar rates of recurrence and complications. Most patients experienced symptom improvement, despite frequent radiographic recurrence, with hernia type, closure technique, fundoplication, and mesh usage not correlating with outcomes.