Laparoscopic 'G'-shaped mesh repair for hiatal hernia: A retrospective study on efficacy and safety.

INTRODUCTION

To evaluate the clinical outcomes of a novel 'G'- shaped mesh in the laparoscopic repair of hiatal hernia (HH).

PATIENTS AND

METHODS

A retrospective analysis was performed on 40 patients undergoing laparoscopic transabdominal HH repair with the 'G'-shaped mesh between March and July 2023. Surgical feasibility, operative time, recurrence rates and complications were analysed.

RESULTS

All procedures were completed laparoscopically (no conversions). Biological meshes were used in 35 patients (87.5%) and synthetic meshes in 5 (12.5%). Mean operative time was 103.62 ± 30.75 min. Post-operative dysphagia occurred in 2 patients (5%), resolved without intervention. At a 1-year follow-up (2 lost), recurrence was observed in 1 case (2.6%). No severe complications (e.g. mesh erosion and visceral injury) occurred.

CONCLUSION

The 'G'- shaped mesh demonstrates safety and efficacy in HH repair, with low recurrence and manageable complications. Comparative studies are needed to validate the long-term benefits.