Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease
- Authors: Grintcov A.G.1, Ishenko R.V.2, Sovpel I.V.1,3, Sovpel O.V.1,3, Shapovalova J.A.3
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Affiliations:
- M. Gorky Donetsk National Medical University
- Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia
- G.V. Bondar Republican Cancer Center
- Issue: Vol 10, No 3 (2019)
- Pages: 5-12
- Section: Original Study Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/14541
- DOI: https://doi.org/10.17816/clinpract1035-12
- ID: 14541
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Abstract
Introduction. Hiatal hernia occupies a third place in the structure of the gastrointestinal tract pathology. The association of hiatal hernia with gastroesophageal reflux disease can lead to severe complications and requires a surgical treatment.
Objective. To analyze short-term and long-term results of a surgical treatment of patients with hiatal hernia complicated by gastroesophageal reflux disease (GERD).
Methods. A retrospective analysis of the short-term and long-term treatment results of 62 patients suffering from hiatal hernia complicated by gastroesophageal reflux disease was performed. All the patients underwent a laparoscopic hiatal hernia repair supplemented by Toupet fundoplication.
Results. The hospital stay duration was 7.2±1.6 days. The postoperative complication rate was 6.5%. Mild functional dysphagia was noted in 8(12.9%). Persistent long-term dysphagia in the late postoperative period was observed in 2(3.2%) patients. The recurrences of hiatal hernia or GERD were noted in 15(24.2%) patients in 5 years after the surgery. The total GERD-HRQL questionnaire score 5 years after the surgery was 5.7±3.9.
Сonclusion. Laparoscopic interventions are safe, less traumatic, provide the possibility of early rehabilitation of patients, can achieve positive functional results in 85% of patients and should be used in the treatment of patients suffering from hiatal hernia complicated by GERD.
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##article.viewOnOriginalSite##About the authors
A. G. Grintcov
M. Gorky Donetsk National Medical University
Email: aggrintsov@gmail.com
ORCID iD: 0000-0001-9261-0313
д-р мед. наук, профессор, зав. кафедрой хирургии стоматологического факультета
DonetskR. V. Ishenko
Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia
Email: ishenkorv@rambler.ru
д-р мед. наук, зам. главного врача по хирургии
Russian Federation, MoscowIgor V. Sovpel
M. Gorky Donetsk National Medical University; G.V. Bondar Republican Cancer Center
Author for correspondence.
Email: Sovpelman@gmail.com
ORCID iD: 0000-0001-8303-7340
канд. мед. наук, ассистент кафедры онкологии; зав. операционным отделением
DonetskO. V. Sovpel
M. Gorky Donetsk National Medical University; G.V. Bondar Republican Cancer Center
Email: sovpeloleg@gmail.com
ORCID iD: 0000-0003-0222-1627
д-р мед. наук, профессор кафедры онкологии
DonetskJu. A. Shapovalova
G.V. Bondar Republican Cancer Center
Email: ninamed@list.ru
ORCID iD: 0000-0002-5220-5687
канд. мед. наук, ассистент кафедры онкологии
DonetskReferences
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