Back to Annual Meeting Program

The value of mesh-buttress over approximated crural musculature in hiatal hernia repair remains a topic of continued research and debate. However, there are situations in which mesh use is essential. When the crura are fibrotic, immobile, or damaged, and in the case of unusually large defects, crural re-approximation is not feasible and a mesh-bridge repair is indicated.
Presented here are 3 cases where mesh is deemed necessary and appropriate.
First, a case of fibrotic crura after hiatal hernia recurrence.
The second case describes the technique of repair for a large para-hiatal hernia.
The final case demonstrates repair of hiatal hernia occurring years after transhiatal esophagectomy.