What works best in hiatus hernia repair, sutures alone, absorbable mesh or non-absorbable mesh? A systematic review and network meta-analysis of randomized clinical trials

Summary Laparoscopic hiatal hernia repair (HHR) and fundoplication is a common low risk procedure providing excellent control of gastro-oesophageal reflux disease and restoring of normal anatomy at the hiatus. HHR may fail, however, resulting in hiatus hernia (HH) recurrence, and the use of tension-...

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Bibliographic Details
Published in:Diseases of the esophagus 2023-07, Vol.36 (7)
Main Authors: Temperley, Hugo C, Davey, Matthew G, O’Sullivan, Niall J, Ryan, Éanna J, Donlon, Noel E, Donohoe, Claire L, Reynolds, John V
Format: Article
Language:English
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Summary:Summary Laparoscopic hiatal hernia repair (HHR) and fundoplication is a common low risk procedure providing excellent control of gastro-oesophageal reflux disease and restoring of normal anatomy at the hiatus. HHR may fail, however, resulting in hiatus hernia (HH) recurrence, and the use of tension-free mesh-augmented hernioplasty has been proposed to reduce recurrence. Previous research on this topic has been heterogeneous, including study methods, mesh type used and technique performed. A systematic review and network meta-analysis were carried out. An electronic systematic research was carried out using ‘PUBMED’, ‘EMBASE’, ‘Medline (OVID)’ and ‘Web of Science’, of articles identifying HHR with suture cruroplasty, non-absorbable mesh (NAM) and absorbable mesh (AM) reinforcement. Eight RCTs with 766 patients were evaluated. NAM had significantly (P 
ISSN:1120-8694
1442-2050
DOI:10.1093/dote/doac101