{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T12:38:42Z","timestamp":1775479122431,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:00:00Z","timestamp":1711670400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:00:00Z","timestamp":1711670400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100009933","name":"Ethicon","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009933","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020309","name":"KARL STORZ","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100020309","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011095","name":"BD Biosciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011095","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008375","name":"University of Basel","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Surgical treatment of type I hiatal sliding hernias aims to control the gastroesophageal reflux symptoms and prevention of hernia recurrence. Usually, a cruroplasty is performed to narrow the hiatal orifice. Here, it remains controversial if a mesh reinforcement of the cruroplasty should be performed, since benefits as well as mesh-associated complications have been described.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We performed a propensity-score matching analysis with data derived from the Herniamed registry comparing patients undergoing laparoscopic type I hiatal hernia repair with and without synthetic mesh. We analyzed perioperative, intraoperative, and postoperative data including data derived from the 1-year follow-up in the registry.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>6.533 patients with an axial, type I hiatal hernia and gastroesophageal reflux are included in this analysis. Mesh augmentation of the hiatoplasty was performed in <jats:italic>n<\/jats:italic>\u2009=\u20091.252\/6.533 (19.2%) of patients. The defect size in the subgroup of patients with mesh augmentation was with mean 16.3\u00a0cm<jats:sup>2<\/jats:sup> [14.5; 18.2] significantly larger as in the subgroups without mesh augmentation with 10.8\u00a0cm<jats:sup>2<\/jats:sup> [8.7; 12.9]; (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). In patients with mesh hiatoplasty <jats:italic>n<\/jats:italic>\u2009=\u2009479 (38.3%) Nissen and <jats:italic>n<\/jats:italic>\u2009=\u2009773 (61.7%) Toupet fundoplications are performed. 1.207 matched pairs could be analyzed. The mean defect size after matching was with 15.9\u00a0cm<jats:sup>2<\/jats:sup> comparable in both groups. A significant association was seen regarding recurrence (4.72% mesh vs. 7.29% non-mesh hiatoplasty, <jats:italic>p<\/jats:italic>\u2009=\u20090.012). The same relation can be seen for pain on exertion (8.78% vs 12.10%; <jats:italic>p<\/jats:italic>\u2009=\u20090.014) and pain requiring treatment (6.13% vs 9.11%; <jats:italic>p<\/jats:italic>\u2009=\u20090.010). All other outcome parameter showed no significant correlation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our data demonstrate that mesh-reinforced laparoscopic type I hiatal hernia repair in larger defects is associated with significantly lower rates for recurrence, pain on exertion and pain requiring treatment.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10029-024-03013-z","type":"journal-article","created":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T10:01:43Z","timestamp":1711706503000},"page":"1667-1678","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Mesh vs. non-mesh repair of type I hiatal hernias: a propensity-score matching analysis of 6533 patients from the Herniamed registry"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2947-5689","authenticated-orcid":false,"given":"H.","family":"Hoffmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Glauser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Adolf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Kirchhoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"K\u00f6ckerling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,29]]},"reference":[{"issue":"4","key":"3013_CR1","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1007\/s00104-019-0932-2","volume":"90","author":"D Weyhe","year":"2019","unstructured":"Weyhe D, Uslar V, K\u00fchne J, Kluge A (2019) Hiatus hernia: standards and controversies in diagnostics and treatment. 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All other authors have nothing to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Only cases of routine hernia surgery were documented in the Herniamed Registry and all patients have signed a special informed consent declaration agreeing to participate. The Herniamed Registry has ethical approval (BASEC Nr. 2016\u201400123; 287\/2017 BO2; F-2022-111).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All patients with routine hernia surgery documented in the Herniamed Registry have signed an informed consent declaration agreeing to participate.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"All authors followed the ethical standards in research involving Human Participants and\/or Animals. Informed consent was proivided to all participating patients.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and animal rights"}}]}}