Elevated early recurrence of paraesophageal hernias in chronic obstructive pulmonary disease patients: a comparative risk analysis

COPD is an independent risk factor for early recurrence after PEHR, although it does not increase the risk of respiratory complications or overall recurrence. Patients with COPD more frequently required higher-level care and experienced earlier recurrence. Our findings may guide shared decision-making and suggest strategies to mitigate recurrence risk, such as routine mesh placement.