Laparoscopic Repair of Very Large Hiatus Hernia With Sutures Versus Absorbable Mesh Versus Nonabsorbable Mesh: A Randomized Controlled Trial

This study investigated repair methods for large hiatal hernias randomized to suture only vs absorbable mesh vs nonabsorbable mesh.  The design was randomized, double blind.  At 12 mos the recurrence rate was 21%, with no difference among the groups.  Postoperative symptoms were different among the groups, but these differences were judged to be of small clinical importance.