title: Laparoscopic surgery of hiatal hernia and gastro-esophageal reflux disease.
abstract: About 10% (per cent) of world population have Hiatal hernia and gastro-esophageal reflux diseases of different forms. From this amount of people 1/5 need required surgical treatment. The goal of the thesis is to show the results and effectiveness of laparoscopic surgical treatment of this disease. In 2005-2013. at out clinics (Thoracoabdominal clinic and Caraps Medline) had been performed 145 laparoscopic fundoplications. Were used as Nissen Method with its modifications (Floppy Nissen, Classic Nissen and Nissen Rosset), as well as "Toupet" and "Dor" methods of fundoplication. From 145 cases were 84 - female, 61 - male. Age ranged from 24 to 76. From performed 145 operations in 97 cases was done Floppy Nissen Fundoplication, 23 cases - Nissen-Rosset modification, 5 cases - Classic Nissen. Toupet method Partial Fundoplication was done in 17 cases and anterior Fundopexia - Dor method - was done in 3 cases. Using various methods of laparoscopic fundoplication, due to the analysis of our results, the perfect positive result was achieved in 93.2% (per cent).
authors.affiliation: "Thoracoabdonimal Clinic"; "Caraps Medline" Clinic, General and Mini-Invasive Surgery Department, Tbilisi, Georgia.
authors.forename: D
authors.initials: D
authors.lastname: Elgandashvili
authors.affiliation: "Thoracoabdonimal Clinic"; "Caraps Medline" Clinic, General and Mini-Invasive Surgery Department, Tbilisi, Georgia.
authors.forename: M M
authors.initials: MM
authors.lastname: Kiladze
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005764:Gastroesophageal Reflux / Q000473:pathology / Q000601:surgery*; D006551:Hernia, Hiatal / Q000473:pathology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged