J Visc Surg
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Large hiatal hernia (LHH) is defined by a hiatal defect larger than 6cm; repair is indicated whenever it becomes symptomatic. As the risk of recurrence after most techniques is relatively high, laparoscopic repair with prosthetic reinforcement of the hiatus has been proposed to reduce the recurrence rate. Our technique and outcomes are reported. ⋯ The addition of mesh reinforcement to surgical repair of large hiatal defects is safe and beneficial in terms of quality of life.