Saratov JOURNAL of Medical and Scientific Research

Causes of failures and indications for refundoplication of antireflux surgery

Year: 2016, volume 12 Issue: №3 Pages: 408-411
Heading: Surgery Article type: Original article
Authors: Khubolov A.M.
Organization: Saratov State Medical University
Summary:

The aim is to study reasons for repeated fundoplication and possible variants of cardia correction in patients suffering from hiatal hernia and reflux esophagitis. Material and methods. Results of antireflux correction in 118 patients suffering from hiatal hernia have been studied, such results have been observed for the period of up to 36 months. Results. Most recurrent cases have been characterized by anatomical background for repeat hernia development, such as migration of fundoplication cuff, inconsistency, extreme traction of tissues that form gastric cuff or derived technique of fundoplication during previous operation. It has been found out that the subjective assessment of patients' condition after fundoplication is one of the most important criteria in deciding whether the repeated intervention is needed. Conclusion. Analysis of long-term results of the repeated antireflux surgery has revealed that quality-of-life index of patients having undergone repeated surgery may be compared to that of a healthy person. Traditional fundoplication of Nissen with non-tractional surgical intervention should be the method of choice for treatment of recurrent hiatal hernias.

Bibliography:
1. Puchkov K.V., Filimonov V.B. Gastroesophageal Hernias. M.: Medpractica, 2003; 172 p.
2. Rodin A.G., Nikitenko A.l., Bazaev A.V., et al. The Experience of Operative Therapy of Hiatus Hernias. Sovremennye Tehnologii v Medicine [Modern Technologies in Medicine] 2012; (4): 89-93
3. Starodubtsev V.A., Baulin V.A., Kupriyanov M.P., et al. Immediate and long-term endoscopic results of surgical treatment of gastroesophageal reflux disease and gastroesophageal. Anthology of A.V. Vishnevsky Surgery Institute 2012; 7 (1): 125-126 p.
4. Kubyshkin V.A., Korniak B.S. Gastroesophageal reflux disease. M.: Meditsina, 1999; 189 p.
5. Dean С, Etienne D, Carpentier В, et al. Hiatal hernias. Surg Radiol Anat 2012; 34 (4): 291 -299
6. Aliev S.A., Omarov O.l., Omarov I.M. Experimental study of a new method treatment of axial hiatal hernia. Journal of New Medical Technologies 2013; 20 (1): 65-67
7. Ellis F, Watson D, Gayet V, at al. Laparascopic reoperation for failed antireflux surgery. Am J Surg 2011; 56: 172-180
8. Martin N, Graces H. Reoperation after for failed antireflux surgery. Arch Surg 2015; 112: 56-63.

AttachmentSize
2016_03_408-411.pdf262.87 KB

No votes yet