The experience of surgical treatment of hiatal hernia with laparoscopic access
Journal Title: Гастроентерологія - Year 2017, Vol 51, Issue 3
Abstract
Background. Diagnosis and treatment of hiatal hernia — one of the most pressing problems of modern medicine. The objective of the study is to present the experience of surgical treatment of hiatal hernia with laparoscopic access. Materials and methods. 67 patients with hiatal hernia underwent surgical treatment with laparoscopic access in the department of digestive of SI “Institute of Gastroenterology of the NAMS of Ukraine” for the period of 2013–2017. Results. Hiatal hernia type I was diagnosed in 60 (88.2 %) patients, hiatal hernia type II — in 7 (10.4 %) patients, mixed hiatal hernia with short esophagus — in 1 (1.5 %) patient. Hernia cruroplasty was performed in 100 % patients with hiatal hernia: posterior cruroplasty — in 60 (89.6 %) patients, anterior cruroplasty — in 2 (2.9 %) patients, сombined cruroplasty — in 5 (7.5 %) patients, alloplasty with cruroplasty — in 6 (8.9 %) patients. We used the following options of laparoscopic fundoplication in patients with hiatal hernia: Nissen fundoplication — in 46 (68.7 %), Dor fundoplication — in 7 (10.4 %) patients, Toupet fundoplication — in 14 (20.9 %) patients. Fixing the cuff to the diaphragm crus were performed in 61 (91.0 %) patients. Deaths after surgery were not registered. Conclusions. The results of the study indicate the high efficacy of laparoscopic access in the surgical treatment of patients with hiatal hernia.
Authors and Affiliations
V. M. Ratchik, N. V. Prolom, B. F. Shevchenko, A. M. Babiy, A. N. Burenko
Keywords
Related Articles
- EP ID EP231296
- DOI 10.22141/2308-2097.51.3.2017.112632
- Views 60
- Downloads 0
Investigation of the Quality of Life Indicators According to SF-8 in Patients with Functional Gastrointestinal Disorders
Quality of life (QOL) — a very important method which can improve the communication between a doctor and a patient, identifying the impact of the disease on the physical, mental and social well-being of a patient, the ef...
State of cavity microbiota of the colon in breastfed children with acute enterocolitis with infection of breast milk
Background. Despite the significant progress made in the field of acute enterocolitis in children, many questions of etiology, pathogenesis, microecological relations, formation of intestinal dysbacteriosis/dysbiosis and...
Laterally Spreading Tumors of the Colon During High Resolution Colonoscopy with Narrow Band Imaging and Acetic Acid Chromoscopy
Colon cancer may arise from laterally spreading tumors. Efficacy of colonoscopy for the diagnosis of these tumors is underinvestigated. Objective. To study diagnostic accuracy of high resolution colonoscopy with narrow b...
Report on the Work of the Task Group «Gastroenterology» of Ministry of Healthcare and National Academy of Medical Science of Ukraine in 2014
.
The Main Symptoms and Syndromes in Diseases of the Digestive System
The article presents the main clinical symptoms and syndromes that occur in various diseases of the abdominal cavity. Both widely known and rare symptoms of gastroenterological diseases are presented. Described symptoms...