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 75
- Downloads 0
Multipotent Hepatoprotector Larnamin in Clinical Practice
The article presents a literature review on the physiological mechanisms of action and evidence base of L-ornithine-L-aspartate — an active substance of the drug Larnamin. Multifaceted properties of the drug are shown:...
Exocrine Pancreatic Insufficiency in Diabetes Mellitus: Incidence, Pathogenesis, Diagnosis and Treatment
The article deals with exocrine pancreatic insufficiency (EPI), which is being detected in a significant number (30–50 %) of patients with diabetes mellitus (DM) type I and II and could potentially affect the compensatio...
Immunomorphological Features of Changes of the Local Gastric Mucosal Homeostasis in Chronic HP-Associated Gastritis in Children after Eradication Therapy
The article deals with the results of standard morphological, immunohistochemical study of gastric mucosa biopsy specimens and beta-defensin-2 production in children with chronic HP-associated gastritis taking into accou...
The Efficacy and Safety of Enzyme Preparations in Terms of Evidence-Based Medicine
The article deals with one of the most commonly prescribed group of drugs in gastroenterology — a group of enzyme preparations. Data from studies of their efficacy and safety are given. Although high-quality randomized c...
Rotavirus-Induced Activation of the Defense Mechanisms of the Adaptive Immune System in Child’s Body
The review describes the current understanding on the participation of the adaptive immune system in sanogenesis at rotavirus infection. It is shown that the leading component of the nonspecific defense mechanisms of the...