PRINCIPLES OF PREVENTION OF COMPLICATIONS IN LAPAROSCOPIC ELIMINATION OF GIANT HIATAL HERNIAS
https://doi.org/10.17238/issn2072-3180.2020.4.5-8
Abstract
Introduction: minimally invasive surgery is a priority area of medicine. It significantly reduce the surgical trauma, the duration of the operation and the number of complications. Laparoscopic surgeries are becoming central to the treatment of giant hiatal hernia and reflux disease. Laparoscopic elimination of hiatal hernia, cruroraphy, Nissen fundoplication with giant hiatal hernia is associated with a high risk of complications.
Materials and Methods: or the period from January 1, 2019 to October 1, 2020, 26 patients with giant hiatal hernia were operated in a surgical hospital. He underwent laparoscopic removal of the hiatal hernia, cruroraphy, and Nissen fundoplication.
Results: all patients were discharged home in satisfactory condition. There are no postoperative complications and deaths. According to the observation data, there are no recurrences of giant hiatal hernia in these patients. The period of stay of such patients in the hospital did not exceed 4 days.
Discussion: formidable complications can develop when performing these operations. The technical principles developed by us make it possible to safely perform laparoscopic elimination of the hiatal hernia, cruroraphy and Nissen fundoplication with giant hiatal hernia.
Conclusion: The clinical experience and the developed principles of performing laparoscopic elimination of giant hiatal hernia are presented. It is necessary to continue the study and systematization for this group of patients.
About the Authors
S. P. Muzhikov
Research Institute Regional clinical hospital №1
Russian Federation
Russian Federation
Stanislav Petrovich Muzhikov — PhD in Medicine, surgeon
350059, Krasnodar, 1 Maya st., 167
M. Iu. Eremenko
ООО Klinika Ekaterininskaya
Russian Federation
Russian Federation
Marina Iurevna Eremenko — surgeon
350901, Krasnodar, Yatskova st., 2/2
References
1. Galimov O.V., Hanov V.O., Mamadaliev D.Z., Sajfullin R.R., Sagitdinov R.R. Kreativnaya xirurgiya gryzhi pishhevodnogo otverstiya diafragmy [Creative surgery for hiatal hernia], Hirurgiya. Zhurnal im. N.I. Pirogova, 2017, No. 7, рр. 30–32. https://doi.org/10.17116/hirurgia2017730-32.
2. Ocenka effektivnosti xirurgicheskogo lecheniya gastroezofageal`noj reflyuksnoj bolezni v sochetanii s gryzhej pishhevodnogo otverstiya diafragmy [Evaluating an effectiveness of surgical treatment of gastroesophageal reflux disease combined with hiatal hernia]. Hirurgiya. Zhurnal im. N.I. Pirogova, 2017, No. 6, рр. 28–32. https://doi.org/10.17116/hirurgia2017628-32
3. Nobre R.A., Bezerra P.C. Anatomical and functional deficiencies of the crural diaphragm in patients with esophagitis Souza. Neurogastroenterol. Motil., 2017, 29(1), рр. 1–8. https://doi.org/10.1111/nmo.12899
4. Herman A., Maiti A., Cherian S.V. Heimlich Maneuver-Induced Diaphragmatic Rupture and Hiatal Hernia. Am. J. Med. Sci., 2018, 355(4), р.13. https://doi.org/10.1016/j.amjms.2017.11.009
5. Shwaartz C., Duggan E., Lee D.S. Diaphragmatic eventration presenting as a recurrent diaphragmatic hernia. Ann. R. Coll. Surg. Engl., 2017, 99(7), рр. 196–199. https://doi.org/10.1308/rcsann.2016.0342
6. Akhmatov A.M., Tarbaev I.S., Vasilevsky D.I. Xirurgicheskoe lechenie gryzh pishhevodnogo otverstiya diafragmy II-IV tipov [Surgical treatment of hiatal hernia of type II–IV diaphragm]. Herald of Surgery, 2019, No. 1, рр. 90–92. (In Russ.)
7. Chan E.G., Sarkaria I.S., Luketich J.D, Levy R. Laparoscopic Approach to Paraesophageal Hernia Repair. Thorac. Surg. Clin., 2019, 29(4), рр. 395–403. https://doi.org/10.1016/j.thorsurg.2019.07.002
8. Guidelines for Surgical Treatment of Gastroesophageal Reflux Disease. Society of American Gastrointestinal and Endoscopic Surgeons, 2020.
9. Cherkasov D.M., Cherkasov M.F., Tat`yanchenko V.K., Starcev Yu.M., Melikova S.G., Galashokyan K.M. Original`ny`j sposob xirurgicheskogo lecheniya bol`shix i gigantskix gry`zh pishhevodnogo otverstiya diafragmy` [Original method of surgical treatment of large and giant hiatal hernias]. Klinicheskaya i e`ksperimental`naya hirurgiya, Vol. 6, No. 2, 2018, pp. 26–31. https://doi.org/10.24411/2308-1198-2018-12003 (in Russ.).
Review
For citations:
Muzhikov S.P., Eremenko M.I. PRINCIPLES OF PREVENTION OF COMPLICATIONS IN LAPAROSCOPIC ELIMINATION OF GIANT HIATAL HERNIAS. Moscow Surgical Journal. 2020;(4):5-8. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.4.5-8
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