title: [Diagnosis and treatment of diaphragmatic and hiatal hernia].
abstract: On the basis of analysis of the results of treatment of diaphragmatic hernia in 115 patients, the authors, recommend for more precise establishment of a diagnosis and choice of a method for surgical intervention, to perform in patients with axial hiatal hernia roentgenoscopy and roentgenography of the stomach and intestine, esophagogastroduodenoscopy and pH-metry, and in patients with traumatic diaphragmatic hernia--roentgenography of the chest and contrast roentgenological study of the stomach and intestine. In axial hiatal hernia and small paraesophageal hernia, the A. A. Shalimov operation is a method of choice; in large paraesophageal hernia--the left-sided thoracotomy with plasty of the hiatus according to Allison and Belsey.
authors.forename: P S
authors.initials: PS
authors.lastname: Demchenko
authors.forename: S S
authors.initials: SS
authors.lastname: Posudevskiĭ
mesh_terms: D000328:Adult; D000368:Aged; D003964:Diaphragm / Q000601:surgery*; D016145:Endoscopy, Digestive System; D005260:Female; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000601:surgery*; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis / Q000601:surgery*; D006551:Hernia, Hiatal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D013536:Suture Techniques; D013908:Thoracotomy / Q000379:methods*
vernacular_title: Diagnostika i lechenie gryzh diafragmy i ee pishchevodnogo otverstiia.