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Efforts to reduce the objective recurrence rate after laparoscopic PEH repair should focus on minimizing tension with the use of a Collis gastroplasty and crural relaxing incisions when necessary. Similar to hernias at other sites, the use of mesh likely is another adjunct step that will improve outcomes with PEH repair, but to avoid erosion synthetic mesh should be avoided.
Steven R. DeMeester (Tue,) studied this question.
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