Findings indicate that incorporating anterior gastropexy during minimally invasive paraesophageal hernia repair significantly lowers the 1-year recurrence rate. In a clinical trial involving 240 participants, the recurrence rate was 15% for those receiving anterior gastropexy compared to 36% for those without it, indicating a notable risk difference. While patient satisfaction and quality-of-life outcomes remained consistent across groups, fewer reoperations for recurrence were noted in the gastropexy group, supporting its routine adoption in surgical practice.
Journal Article by Petro CC, Ellis RC (…) Rosen MJ et 12 al. in JAMA Surg