Large hiatal hernias represent a challenge for surgeons. Biologic grafts are currently popular for the strengthening of crural closure during laparoscopic repair. This study is a retrospective review of crural reinforcement in laparoscopic repair of large hiatal hernias using various biologic grafts performed by a single surgeon in a rural community hospital...

Minimally invasive approach in the repair of hiatal hernias became a standard of care during the last two decades. Laparoscopy offers faster recovery, shorter hospital stay, and less morbidity than traditional laparotomy  Several studies have shown higher recurrence rates after a suture-based repair of hiatal hernias . A “tension-free” repair with prosthetic mesh allowed decreasing recurrence , but the use of synthetic materials produced potentially serious problems, such as erosion and dysphagia . Multiple reports showed reduction in short-term recurrence rate after hiatal hernia repair with biologic grafts . However, the improvement in hiatal hernia recurrence decreased at long-term follow-up . Biologic grafts used in hiatal hernia repairs are safe, and the incidences of mesh-related complications are low . This is a study of various biologic grafts used for diaphragmatic crura reinforcement during laparoscopic repair of large hiatal hernias performed by a single surgeon in a rural community hospital.

More details visit to https://www.omicsonline.org/open-access/different-biologic-grafts-for-diaphragmatic-crura-reinforcement-duringlaparoscopic-repair-of-large-hiatal-hernia-a-6year.pdf