In a study involving 503 patients undergoing robotic hiatal and paraesophageal hernia repair, the use of biosynthetic mesh significantly reduced long-term anatomic hernia recurrence rates from 44.9% to 24.7% compared to suture-only repairs. Symptomatic recurrence also decreased from 42.2% to 17.2%. Despite comparable short-term outcomes, the findings advocate for biosynthetic mesh reinforcement in managing medium and large hernias, while emphasizing the need for further multicenter randomized studies for conclusive evidence.
Journal Article by Salehi N, Marshall T (…) Zarnegar R et 10 al. in Surg Endosc
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