Expert Commentary: Mesh Reinforcement of Hiatal Closure

Introduction: The principles of PEH repair involve primary closure of the hiatus around the esophagus after complete reduction of the hernia sac. However, this repair is associated with a high failure rate, leading surgeons to consider prosthetic materials to reinforce the hiatal closure. In this chapter, we review the literature comparing outcomes of hiatal mesh reinforcement to simple closure during laparoscopic PEH repair.