title: [A new classification of hiatal hernias, based on analysis of far remote results of laparoscopic plasty].
abstract: The results of operative treatment of 787 patients, suffering hiatal hernia (UH), were analyzed. Depending on the hiatal foramen square the patients were divided into three groups: with a small, large and giant hernias. In large HH a cruroraphy conduction causes a trustworthy more recurrence rate, than in small HH. In large HH the alloplasty performance secures lesser recurrence rate, then in cruroraphy conduction, although the dysphagia rate is bigger. While performing original method the dysphagia rate is minimal in comparison with such, when polypropylene transplant is used for plasty. In a giant HH alloplasty is complicated by trustworthy enhanced recurrence rate (19%), than in large HH, trusting neccessity to elaborate a new methods of correction. Basing on results of a factorial analysis made, concerning an accordance of the hiatal defect square with the recurrence rate in the groups of patients, there was established, that the division levels (10 and 20 cm2) for establishing the HH classification strictly parallels the recurrence rate in each class determined by the authors.
authors.forename: V V
authors.initials: VV
authors.lastname: Grubnik
authors.forename: A V
authors.initials: AV
authors.lastname: Malinovskiĭ
mesh_terms: D003680:Deglutition Disorders / Q000209:etiology / Q000473:pathology*; D006551:Hernia, Hiatal / Q000473:pathology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D011126:Polypropylenes; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012008:Recurrence; D012720:Severity of Illness Index; D016896:Treatment Outcome; D063986:Vascularized Composite Allotransplantation / Q000009:adverse effects / Q000379:methods
chemical_list: D011126:Polypropylenes