Proposed section structure
This topic is best organized around the clinical problem of failed or high-tension hiatal closure, followed by study design, technical details of the modified operation, patient-reported outcomes, interpretation in the context of existing evidence, and the remaining evidence gaps regarding anatomic recurrence.
Accordingly, the article is structured as follows: Highlights; Clinical background and unmet need; Study design and operative approach; Key findings; Clinical interpretation; Limitations and research priorities; Funding and trial registration; References.
