Surgical repair is indicated in @entity1 with @entity357 but is associated with a high recurrence rate. Our objective was to assess the safety and efficacy of mesh reinforcement of the crural closure in laparoscopic @entity357 repair. We conducted a 7-year retrospective review of all @entity1 undergoing laparoscopic @entity357 repair with or without use of mesh. The main outcome measures were use of mesh, reason for use, age, sex, preoperative symptoms, length of operation, length of hospital stay, @entity260 , and long-term follow-up conducted by physician interview. Twelve @entity1 were repaired with mesh (Group A) and 12 without (Group B). Age, sex, operating time, length of hospital stay, and @entity260 were similar in both groups. In Group A two @entity1 required an interposition graft and ten required mesh reinforcement of the crural closure. One Group A @entity1 developed an early recurrence requiring a reoperation, and one Group B @entity1 developed a gastric leak where the fundus was sutured to the crura. The remainder of the @entity1 experienced resolution of their symptoms at 2 weeks follow-up. Long-term follow-up (average 37 months) showed one Group B @entity1 with a recurrence of reflux symptoms, but an upper gastrointestinal study showed no recurrence of @entity547 . All others remained asymptomatic. We conclude that the use of mesh in laparoscopic repair of large @entity357 appears safe and may reduce recurrence.

Mesh crural repair of large XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity357 :: ('MESH:D006551', 'Disease') :: ['paraesophageal hernia', 'paraesophageal hernias'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia']
@entity357 :: (MESH:D006551,Disease) :: ['paraesophageal hiatal hernias']
