Application of laparoscopic technologes for the treatment of hiatal hernia
ARTICLE PDF (Українська)

Keywords

hiatal hernia, crurorrafiy, Nissen fundoplication

How to Cite

Serbul, M. M., Sheptukha, S. A., & Yaskevich, O. A. (2018). Application of laparoscopic technologes for the treatment of hiatal hernia. Clinical and Preventive Medicine, (2-3), 78-82. https://doi.org/10.31612/2616-4868.2-5.2018.09

Abstract

Objective: to evaluate the own results of the treatment of patients with hiatal hernia by laparoscopic crurorrafiy, Nissen fundoplication.

Material and methods. The paper presents the results of laparoscopic treatment of 100 patients with hiatal hernia for the period from 2011 to 2018 in the Department of Minimally Invasive Surgery of the State Scientific Institution "Scientific and Practical Center for Preventive and Clinical Medicine" of the State Affairs Department. Among them were 67 women and 23 men. The average age was 55.3±1.3 years.

Results. All patients were examined in full at the prehospital stage. The diagnosis was confirmed on the basis of clinical data and the results of additional methods of fibrogastroduodenoscopy, computed tomography. fluoroscopy of the esophagus and stomach using a contrast agent). Hospitalization was performed on the day of the operation. All patients underwent surgery in the volume of crurorrafiy, Nissen fundoplication. The duration of the operation averaged 150±4.6 minutes. In 12 cases, lengthening the duration of the operation was associated with the performance of simultaneous operations (in 9 cases – cholecystectomy, in 3 cases - laparoscopic umbilical hernia repair). In the early postoperative period, complications arose in 1 case when the need arose for repeated surgical intervention due to obstruction of the esophagus. Patients were activated from the first day. In most cases, the postoperative period was uneventful. Dysphagia was observed in 2 patients in cases of rapid recovery of physiological nutrition. The average length of hospital stay was 3.3±0.1 days. During the period of further observation (for a period from 1 month to 7 years), 2 cases of relapse were detected. As a result, 1 patient refused to re-operation and the second was performed repeated surgery.

Conclusion

According to the authors, the operation of crurorrafiy, Nissen fundoplication, is the operation of choice in the treatment of hiatal hernia

https://doi.org/10.31612/2616-4868.2-5.2018.09
ARTICLE PDF (Українська)

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