[Surgery of hiatal hernias].
On the basis of a study performed in 141 cases of hiatal hernia that have been hospitalized in the clinic a series of clinico-therapeutical considerations are made, with surgical implications. The most frequently encountered type of hiatal hernia was that occurring through sliding. Very frequently there are morbid associations (in over 60% of the cases) and this indicates the necessity for a complex study of the patients and a careful selection of the predominant affection. Only 81 of the patients that have been examined - that is 57% - had surgical indications. Two types of interventions have been associated: the correction of the diaphragmatic hiatus was always associated with an intervention in view of avoiding the repetition of the gastroesophagian reflux. Good and very good post-operative results have been obtained in 78% of the interventions and mediocre results in 22% of the operated patients.
D000328:Adult; D000368:Aged; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006551:Hernia, Hiatal / Q000150:complications / Q000601:surgery*; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis
Consideraţii asupra chirurgiei herniilor hiatale.