The Experience of Operative Therapy of Hiatus Hernias

The aim of the investigation is to analyze the results of operative therapy of patients with hiatus hernias complicated by gastroesophageal reflux disease.

Materials and Methods. There have been studied the results of operative treatment of 467 patients with hiatus hernias using laparotomy approach (n=52) and laparoscopic equipment (n=415). Long-term results of various anti-reflux surgeries have been studied in 289 patients in follow up periods of 1, 2 and 3 years.

Conclusion. The use of more traumatic anti-reflux operations related to the formation of anti-reflux cuff in operative therapy of hiatus hernias complicated by gastroesophageal reflux has no significant advantages over technically easier laparoscopic operations aiming at His angle reconstruction using esophagocruroraphy and gastrocardiopexia. Cunat–Hill technique with the use of laparoscopic equipment is to be considered the method of choice in operative therapy of hiatus hernias.

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Rodin A.G., Nikitenko А.I., Bazaev А.V., Domnin М.А. The Experience of Operative Therapy of Hiatus Hernias. Sovremennye tehnologii v medicine 2012; (4): 89