Hiatal hernia repair mesh with starlock configuration for hiatal hernia repairs and methods thereof

A method of repairing a hiatal hernia, comprising:

• repairing a hiatal hernia by suturing one or more portions of a hiatus;
• positioning a hiatal hernia repair mesh against the hiatus such that the mesh frame provides structural support to the repaired hiatus, wherein the hiatal hernia repair mesh includes a mesh frame with a central opening and a starlock configuration disposed around the central opening, wherein the starlock configuration includes a plurality of flexible leaflets extending inwardly from a perimeter of the central opening;
• wrapping the hiatal hernia repair mesh around an esophagus such that the central opening of the mesh frame surrounds the esophagus and the plurality of flexible leaflets of the starlock configuration contact the esophagus;
• securing the hiatal hernia repair mesh in position, wherein the plurality of flexible leaflets of the starlock configuration are configured to allow movement of the esophagus in a first direction to allow esophageal dilation during peristalsis while providing resistance against movement of the esophagus toward a chest cavity to prevent recurrence of the hiatal hernia;
• and
• securing a fundus of a stomach to a left portion of a diaphragm and the hiatal hernia repair mesh, wherein securing the fundus of the stomach to the left portion of the diaphragm and the hiatal hernia repair mesh facilitates reestablishment of an angle of His and positions gastric clasp fibers and gastric sling fibers in an anatomically correct position to reestablish a competent gastric flap valve.