{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T14:02:40Z","timestamp":1780149760508,"version":"3.54.0"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intrathoracic wrap migration (IWM) is a relatively infrequent but clinically significant complication following laparoscopic fundoplication (LF). This meta-analysis aimed to synthesize the available evidence comparing the incidence of IWM after primary cruroplasty with or without mesh reinforcement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A systematic search of PubMed, Embase, Scopus, Web of Science, and Cochrane Library was performed through February 2026. The primary outcome was the incidence of IWM following LF with mesh reinforcement versus simple suture repair. Secondary outcomes included operative time and postoperative dysphagia. The random-effects model was used to calculate the pooled odds ratios (OR) and mean difference (MD) with 95% confidence intervals (CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 507 studies screened, 7 cohort studies comprising 1171 patients were included. The mesh group represented 43.5% of patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 510). Overall, 43% were female (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 504) with a mean age of 54.3 years. There was no significant difference in age or sex distribution between groups. Mesh reinforcement during LF was associated with a significantly lower risk of IWM (OR = 0.21; 95% CI = 0.10 to 0.42;\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0%). Sensitivity analyses confirmed the robustness of the IWM findings across prospective studies and polypropylene mesh subgroups. There was no statistically significant difference in operative time (MD =+14.22 minutes;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .05). Mesh reinforcement was associated with a higher risk of dysphagia at 3 months (OR = 2.22; 95% CI = 1.60 to 3.09;\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0%), with no significant difference observed at 1-year follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Mesh reinforcement during LF was associated with a significantly lower risk of IWM compared with simple suture repair, without significant differences in operative time and long-term dysphagia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261456156","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T01:58:53Z","timestamp":1779933533000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Hernia Recurrence: Mesh Reinforcement Significantly Reduces Intrathoracic Wrap Migration after Laparoscopic Fundoplication\u2014A Meta-Analysis of 1171 Patients"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9077-1460","authenticated-orcid":false,"given":"Yeisson","family":"Rivero-Moreno","sequence":"first","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center\/Albert Einstein College of Medicine, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesus","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Department of Surgery, Orlando Health, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiwalade","family":"Adediji","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center\/Albert Einstein College of Medicine, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center\/Albert Einstein College of Medicine, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center\/Albert Einstein College of Medicine, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Moran-Atkin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center\/Albert Einstein College of Medicine, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.142.8.785"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(01)00992-9"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(97)80113-8"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(01)00025-7"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2050.2010.01094.x"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0425-3"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003583"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1411"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.04.026"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90046-2"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/biom.12817"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-4-1"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/cl2.1230"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.140.1.40"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-9136-0"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.08.042"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9212-2"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.3859"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.178.4.1780859"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2012.12.006"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41395-018-0115-7"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2020.0952"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-11793-3"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-10816-9"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.4976"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11917"}],"container-title":["Journal 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