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Peer-reviewed veterinary case report

Laparoscopic hiatal hernia repair with 'G'-shaped mesh - is it safe?

By Li S et al.·2026·Department of General Surgery, China·View original on Europe PMC

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Original publication title: Laparoscopic 'G'-shaped mesh repair for hiatal hernia: A retrospective study on efficacy and safety.

Plain-English summary

This study looked at how well a new type of mesh, shaped like a 'G', works for fixing hiatal hernias (a condition where part of the stomach pushes through the diaphragm). Researchers reviewed the cases of 40 patients who had this surgery between March and July 2023. The surgeries were all done using a minimally invasive technique, and the average time for the surgery was about 1 hour and 44 minutes. After the surgery, only 2 patients had trouble swallowing, but this got better on its own, and there was only one case of the hernia coming back after a year. Overall, the 'G'-shaped mesh was found to be safe and effective for this type of repair, with few complications.

Abstract

<h4>Introduction</h4>To evaluate the clinical outcomes of a novel 'G'- shaped mesh in the laparoscopic repair of hiatal hernia (HH).<h4>Patients and methods</h4>A retrospective analysis was performed on 40 patients undergoing laparoscopic transabdominal HH repair with the 'G'-shaped mesh between March and July 2023. Surgical feasibility, operative time, recurrence rates and complications were analysed.<h4>Results</h4>All procedures were completed laparoscopically (no conversions). Biological meshes were used in 35 patients (87.5%) and synthetic meshes in 5 (12.5%). Mean operative time was 103.62 ± 30.75 min. Post-operative dysphagia occurred in 2 patients (5%), resolved without intervention. At a 1-year follow-up (2 lost), recurrence was observed in 1 case (2.6%). No severe complications (e.g. mesh erosion and visceral injury) occurred.<h4>Conclusion</h4>The 'G'- shaped mesh demonstrates safety and efficacy in HH repair, with low recurrence and manageable complications. Comparative studies are needed to validate the long-term benefits.

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Original publication on Europe PMC: https://europepmc.org/article/MED/41860065