Abstract:

Hiatus hernia （HH） refers to the protrusion of the gastro-esophageal junction through an enlarged esophageal hiatus. The main treatment options include laparoscopic surgery, robotic surgery, etc.,with laparoscopic surgery accompanied by fundoplication and mesh repair being a common procedure. HH recurrence often occurs due to factors such as high or ruptured diaphragmatic tension, weak diaphragm, short esophagus, obesity, etc. Different fundoplication techniques in traditional laparoscopic surgery and roboticassisted surgery have not effectively reduced recurrence. Innovative surgical techniques such as posterior rectus sheath flap hiatal augmentation and falciform ligament flap diaphragm plication have shown promise in reducing HH recurrence after surgery. In addition, the use of patches in HH repair can effectively reduce early postoperative recurrence rates. Advances in patch materials and shapes have also contributed to the decreased recurrence rates.

Key words: Hiatus hernia, Hiatus hernia repair, Recurrence