[Surgical treatment of patients with paraesophageal and mixed hiatal hernias].
In 1948-1990 the authors operated 112 patients with paraoesophageal and mixed hiatus hernias. 100 patients operated in 1988 were followed up on a long-term basis. Gastroesophageal reflux was recorded before operation in 52%, haemorrhage in 18%, an ulcer in the neck in 7% an incarceration and obstruction in 9%. Before the onset of the seventies hiatorrhaphy and gastropexy were performed. During check-up examinations in these patients relapses were recorded in 47%, reflux in 43%, subjective complaints in 26%. This made the authors change the surgical procedure and in subsequent years they performed hiatorrhaphy, fundoplication, fundophrenopexy and anterior gastropexy. The incidence of relapses of hernia during check-up examinations declined to 21%, of gastroesophageal reflux to 9% and subjective complaints to 10%. The follow-up period varied between 1 and 19 years. The surgical lethality was 2%.
Duda
M
M
II. chirurgická klinika FNsP a LF UP, Olomouc.
Dlouhý
M
M
Gryga
A
A
Rocek
V
V
Köchner
M
M
Herman
J
J
D000328:Adult; D000368:Aged; D005260:Female; D006551:Hernia, Hiatal / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged
Chirurgické lécení nemocných s paraezofageálními a smísenými hiátovými herniemi.