Long-term durability and temporal pattern of revisional surgery of laparoscopic large hiatal hernia repair.

The need to add a fundoplication during LHH repair is still a matter of debate; according to a recent meta-analysis including 22 studies for a total of 8600 patients, there was a trend toward a higher rate of GERD, hernia recurrence, and reoperation when fundoplication was not performed, but a lower risk of dysphagia; however, these data did not reach statistical significance [ 30 ].

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