Evaluation of antireflux surgery effectiveness in patients with hiatal hernia
نویسندگان
چکیده
The generally accepted gold standard in the surgical treatment of hiatal hernias is laparoscopic fundoplication with cruroplasty. At same time, problem choosing best method to improve results intervention remains disputable. Aim. Determination effectiveness antireflux interventions and frequency postoperative dysphagia patients esophageal hernia. Materials methods. 38 early late period, operated use Nissen Toupet fundoplication, an integrated exhaustive examination manifestations syndrome were analyzed. 17 (44.7 %) (first group) underwent posterior crurorraphy Short-Floppy-Nissen modification, 21 (55.3 (second fundoplication. Results. In intensity pain on rating scale was minimal 70.6 % 71.4 %; moderate 23.5 14.3 strong 5.9 first second groups, respectively. degree (the ability ingest liquid food fluids) observed 5 (29.4%) group, subsequent regression 4 within days; group there no dysphagia. When comparing all scales analysis quality life both significant difference found between them. Conclusions. obtained data demonstrate compatibility methods, absence differences patient’s satisfaction period. Differences after surgery indicate need for a more differentiated approach choice technique.
منابع مشابه
Laparoscopic refundoplication with prosthetic hiatal closure for recurrent hiatal hernia after primary failed antireflux surgery.
BACKGROUND One of the most frequent complications after laparoscopic antireflux surgery is estimated to be the intrathoracic herniation of the wrap into the chest. Therefore, in up to 5% of patients, revisional surgery is necessary. HYPOTHESIS Patients who undergo laparoscopic refundoplication for postoperative intrathoracic wrap herniation using a circular polypropylene mesh for hiatal closu...
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ژورنال
عنوان ژورنال: Patologìâ
سال: 2023
ISSN: ['2310-1237', '2306-8027']
DOI: https://doi.org/10.14739/2310-1237.2022.3.253116