Large hiatus hernia requiring hiatoplasty - An ongoing challenge: A case series

Evidence for the management of large hiatus herniae (HH) in children is lacking. Adult literature is conflicting with regard to risk vs. benefit profile of prosthetic mesh use; rates of dysphagia or recurrence are up to 25 % and 38 %, respectively. We aimed to assess the efficacy of using a biological tissue matrix to augment hiatoplasty.