CRUROPLASTY WITH NISSEN FUNDOPLICATION IN SURGICAL TREATMENT OF HIATAL HERNIA, COMPLICATED BY GASTROESOPHAGEAL REFLUX DISEASE
https://doi.org/10.34822/2304-9448-2019-4-43-50
Abstract
The aim of the study is to analyze short-term and long-term results of surgical treatment of patients with hiatal hernia complicated by gastroesophageal reflux disease. Material and methods. A retrospective analysis of treatment results of 109 patients suffering from hiatal hernia complicated by gastroesophageal reflux disease is made. All patients underwent laparoscopic hiatal hernia repair and Nissen fundoplication. Results. The duration of the hospital stay on average is 7.2 ± 1.6 days. Postoperative complications rate is 8.3 %. Mild functional dysphagia is noted in 22 (20.2 %) patients. Persistent long-term dysphagia in the late postoperative period is observed in 8 (7.3 %) patients. The recurrences of hiatal hernia or gastroesophageal reflux disease are revealed in 19 (17.4 %) patients in 5 years after surgery. The GERD-HRQL questionnaire total score in 5 years after surgery is 5.7 ± 3.9.
About the Authors
I. V. Sovpel
M. Gorky Donetsk National Medical University;
G. V. Bondar Republican Cancer Center, Donetsk, Donetsk People's Republic;
Ukraine
Ukraine
PhD (Medicine), Assistant Professor, Oncology Department; Head, Surgical Unit
e-mail: sovpelman@gmail.com
A. G. Grintsov
M. Gorky Donetsk National Medical University, Donetsk People's Republic
Ukraine
Ukraine
Doctor of Science (Medicine), Professor, Head, Department of Surgery, Dentistry Faculty
e-mail: aggrintsov@gmail.com
R. 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, Moscow
Russian Federation
Russian Federation
Doctor of Science (Medicine), Deputy Chief Medical Officer on Surgery
e-mail: ishenkorv@rambler.ru
O. V. Sovpel
G. V. Bondar Republican Cancer Center, Donetsk, Donetsk People's Republic;
Oncology Department, M. Gorky Donetsk National Medical University, Donetsk People's Republic
Ukraine
Ukraine
Doctor of Science (Medicine), Head, Department of Oncosurgery № 6; Professor
e-mail: sovpeloleg@gmail.com
Yu. A. Shapovalova
Oncology Department, M. Gorky Donetsk National Medical University, Donetsk People's Republic
Ukraine
Ukraine
PhD (Medicine), Assistant Professor
e-mail: ninamed@list.ru
References
1. Пучков К. В., Филимонов В. Б. Грыжи пищеводного отверстия диафрагмы. М. : Медпрактика-М, 2003. 172 с.
2. Галимов О. В., Ханов В. О., Гаптракипов Э. Х. Новые технологии в хирургическом лечении гастроэзофагеальной рефлюксной болезни // Хирургия 2007. № 2. С. 29-33.
3. Родин А. Г., Базаев А. В, Никитенко А. И. Хирургическое лечение грыж пищеводного отверстия диафрагмы у больных пожилого возраста // Мед. альманах. 2014. № 3. С. 117-120.
4. Сигал Е. И., Бурмистров М. В. Результаты лапароскопических операций при грыжах пищеводного отверстия диафрагмы // Анналы хирургии. 2004. № 2. С. 62-65.
5. Зябрева И. А., Джулай Т. Е. Грыжи пищеводного отверстия диафрагмы: спорные, нерешенные и перспективные аспекты проблемы (обзор литературы) // Верхневолж. мед. журн. 2015. № 14 (4). С. 24-28.
6. Калинина Е. А., Пряхин А. Н. Технические аспекты лапароскопической пластики грыж пищеводного отверстия диафрагмы: обзор литературы и собственный опыт // Вестн. Южно-Урал. гос. ун-та. Сер. Образование, здравоохранение, физическая культура. 2014. Т. 14, № 3. С. 54-60.
7. Грубник В. В., Малиновский А. В. Анализ отдаленных результатов лапароскопической пластики грыж пищеводного отверстия диафрагмы и фундопликации по Ниссену // Клiнiчна хiрургiя. 2012. № 10. С. 34-36.
8. Lebenthal A., Waterford S. D., Fisichella P. M. Treatment and Controversies in Paraesophageal Hernia Repair // Front Surg. 2015. Vol. 2, № 13. DOI 10.3389/ fsurg.2015.00013.
9. Kohn G. P., Price R. R., DeMeester S. R. et al. Guidelines for the Management of Hiatal Hernia // Surgical Endoscopy. 2013. Vol. 27, № 12. P. 4409-4428. DOI 10.1007/s00464-013-3173-3.
10. Rickenbacher N., Koetter T., Kochen M. M., Scherer M. et al. Fundoplication versus Medical Management of Gasroesophageal Reflux Disease: Systematic Review and Meta-Analysis // Surgical Endoscopy. 2014. Vol. 28, No. 1. P. 143-155. DOI 10.1007/s13244-010-0011-1.
11. Shan C.-X., Zhang W., Zheng X.-M., Jiang D.-Z. et al. Evidence-based Appraisal in Laparoscopic Nissen and Toupet Fundoplication for Gasroesophageal Reflux Disease // World Journal of Gastroenterology. 2010. Vol. 16, № 24. P. 3063-3071. DOI 10.3748/wjg. v16.i24.3063.
12. Zhang C., Liu D., Li F., Watson D. I., Gao X., Koetje J. H. et al. Systematic Review and Meta-Analysis of Laparoscopic Mesh versus Suture Repair of Hiatus Hernia: Objective and Subjective Outcomes // Surgical Endoscopy. 2017. Vol. 31, № 12. P. 49134922. DOI 10.1007/s00464-017-5586-x.
13. Sathasivam R., Bussa G., Viswanath Y. et al. "Mesh Hiatal Hernioplasty" versus "Suture Cruroplasty" in Laparoscopic Paraoesophageal Hernia Surgery; a Systematic Review and Meta-Analysis // Asian Journal of Surgery. 2019. Vol. 42. P. 53-60. DOI 10.1016/j. asjsur.2018.05.001.
14. Tam V., Winger D. G., Nason K. S. A Systematic Review and Meta-Analysis of Mesh Versus Suture Cruroplasty in Laparoscopic Large Hiatal Hernia Repair // The American Journal of Surgery. 2016. Vol. 211, № 1. P. 226-238. DOI 10.1016/j.amjsurg.2015.07.007.
15. Draaisma W. A., Gooszen H. G., Tournoij E., Broeders J. A. Controversies in Paraesophageal Hernia Repair: A Review of Literature // Ibid. 2005. Vol. 19. P. 13001308. DOI 10.1007/s00464-004-2275-3.
16. Kaplan J. A., Schecter S., Lin M. Y., Rogers S. J., Carter J. T. Morbidity and Mortality Associated With Elective or Emergency Paraesophageal Hernia Repair // JAMA Surg. 2015. Vol. 150 (11). Р. 1094-1096. DOI 10.1001/ jamasurg.2015.1867.
17. Jassim H., Seligman J. T., Frelich M., Goldblatt M., Kastenmeier A., Wallace J. et al. A Population-Based Analysis of Emergent Versus Elective Paraesophageal Hernia Repair Using the Nationwide Inpatient Sample // Surg Endosc. 2014. Vol. 28 (12). Р. 3473-3478. DOI 10.1007/s00464-014-3626-3.
18. Oelschlager B. K., Yamamoto K., Woltman T., Pellegrini C. Vagotomy During Hiatal Hernia Repair: a Benign Esophageal Lengthening Procedure // J Gastrointest Surg. 2008. Vol. 12 (7). P. 1155-1162. DOI 10.1007/ s11605-008-0520-0.
19. Watson D. I., Thompson S. K., Devitt P. G. et al. Laparoscopic Repair of Very Large Hiatus Hernia with Sutures versus Absorbable Mesh versus Nonabsorbable Mesh: a Randomized Controlled Trial // Ann Surg. 2015. Vol. 261 (2). Р. 282-289. DOI 10.1097/SLA.0000000000000842.
20. Oelschlager B. K., Pellegrini C. A., Hunter J. G. et al. Biologic Prosthesis to Prevent Recurrence after Laparoscopic Paraesophageal Hernia Repair: LongTerm Follow-Up from a Multicenter, Prospective, Randomized Trial // J Am Coll Surg. 2011. № 213 (4). P. 461-468. DOI 10.1016/j.jamcollsurg. 2011.05.017.
21. Dellaportas D., Papaconstantinou I., Nastos C. et al. Large Paraesophageal Hiatus Hernia: Is Surgery Mandatory? A Review Article // Chirurgia. 2018. Vol. 113. P. 765-771. DOI 10.21614/chirurgia.113.6.765.
22. Asti E., Lovece A., Bonavina L. et al. Laparoscopic Managementof Large Hiatus Hernia: Five-year Cohort Study and Comparisonof Mesh-Augmented versus Standard Crura Repair // Surgical Endoscopy. 2016. Vol. 30 (12). P. 5404-5409. DOI 10.1007/s00464-016- 4897-7.
23. Velanovich V. Comparison of Generic (SF-36) vs. Disease-Specific (GERD-HRQL) Quality-of-life Scales for Gastroesophageal Reflux Disease // J Gastrointest Surg. 1998. No. 2. P. 141-145. DOI 10.1016/s1091- 255x(98)80004-8.
Review
For citations:
Sovpel I.V., Grintsov A.G., Ishenko R.V., Sovpel O.V., Shapovalova Yu.A. CRUROPLASTY WITH NISSEN FUNDOPLICATION IN SURGICAL TREATMENT OF HIATAL HERNIA, COMPLICATED BY GASTROESOPHAGEAL REFLUX DISEASE. Vestnik SurGU. Meditsina. 2019;(4 (42)):43-50. (In Russ.) https://doi.org/10.34822/2304-9448-2019-4-43-50
Views:
2537
Email this article 
