Comparative analysis of the results of reconstruction of the cardioesophageal transition of the liver round connection and fundoplication by the Nissen–Rosetti method in treatment of hernias

The paper presents a comparative characteristic of the results surgical treatment 27 patients with hiatal hernias using Rampal–Narbona cardiorespexy technique and 16 who underwent laparoscopic Nissen– Rosetti fundoplication cruroraphy. Cardioterespexy according to Rampal-Narbona consists in use lig. Teres hepatis aim forming angle His, fixing cardiac part stomach esophagus abdominal cavity. There were no cases mortality. Complications after surgery observed older associated concomitant pathology. examined within 10 18 months surgery; both groups, several relapses complications recorded. In percentage terms, these data are as follows: during cardioterespexia surgery, recurrence rate was 3.7%, signs esophagitis 18%, cardia insufficiency 11.1%, GER while patients, those operated on Nissen–Rosetti technique, similar indicators somewhat different: relapse 6.25%, 18.75%, also 18.75%. obtained indicate good efficiency cardiopexy round ligament liver, lower comparison (18.7%). authors see expediency clinical practice classical version subject its further improvement, which increasing mechanical properties liver performing this operation by access.