Patients who underwent laparoscopic repair of large hiatal hernias and anterior fundoplication with mesh are examined for their recurrence rate one year after surgery.

Inclusion Criteria:

• Age older than 18 years
• Initially suffering from large hiatal hernia (>20% of the stomach in the thoracic cavity)
• Performance of laparoscopic hiatal hernia repair with mesh and anterior fundoplication
• Informed Consent as documented by signature (Appendix: Informed Consent Form)

Exclusion Criteria:

• Performance of any other anti-reflux surgery such as Toupet- or Nissen-fundoplication
• Performance of anterior fundoplication without mesh
• Women who meet the inclusion criteria but are pregnant or breast feeding or have the intention to become pregnant during the course of the study

Inclusion of all patients older than 18 years with initial large hiatal hernia (>20% herniated into thoracic cavity) and laparoscopic hiatoplasty with mesh and anterior fundoplication