title: [Surgical treatment of patients with paraesophageal and mixed hiatal hernias].
abstract: During the years from 1948-90, we operated on 112 patients with paraesophageal and mixed hiatal hernias. One hundred patients who had been operated on up to the year 1988 were followed up over a long period. Preoperatively gastroesophageal reflux occurred in 52%, hemorrhage in 18%, riding ulcer in 7%, and incarceration and obstruction in 9%. Up to the beginning of the seventies, hiatoraphy and gastropexy were carried out. In these patients, the checking showed the occurrence of the relapse of hernias in 47%, reflux in 43% and subjective complaints in 26%. This finding induced us to change the surgical procedure and, in the following years, we performed hiatoraphy, fundoplicatio, fundophrenopexy and anterior gastropexy. The checking showed a decrease in the occurrence of the relapse of hernias to 21%, gastroesophageal reflux to 9% and subjective complaints to 10%. The period of the follow-up ranged from 1 to 19 years. The operative letality was 3%.
authors.affiliation: Medizinische Fakultät der Palacky Universität in Olomouc, Tschechoslowakei.
authors.forename: M
authors.initials: M
authors.lastname: Duda
authors.forename: M
authors.initials: M
authors.lastname: Dlouhý
authors.forename: A
authors.initials: A
authors.lastname: Gryga
authors.forename: V
authors.initials: V
authors.lastname: Rocek
authors.forename: M
authors.initials: M
authors.lastname: Köcher
authors.forename: J
authors.initials: J
authors.lastname: Herman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011859:Radiography
vernacular_title: Chirurgische Behandlung der Kranken mit Paraösophagealen und gemischten Hiatushernien.