Danubius International Conferences, 16th International Conference on European Integration - Realities and Perspectives
Difficulties and Challenges in Voluminous Hiatal Hernias
Last modified: 2021-05-12
Abstract
Hiatal hernia is a common pathology nowadays frequent associated with symptomatic GERD. We present our personal experience in the last years regarding hiatal hernia repair using different types of antireflux procedures and cruroplasty. In cases of large hiatal defect we performed Nissen fundoplication besides cruroplasty. We also used Dor or Toupet procedures adapted at each case. We analyzed the difficulties in dissection of esogastric region and closure of large hiatal defect in voluminous hiatal hernias. We analyzed the results of different types of antireflux procedures in terms of quality of life of the patients and the efficacy to reduce the GERD symptoms. Laparoscopic treatment is the gold standard in hiatal hernia therapeutically management regarding the functional results and the prevention of recurrence.
Acknowledgments: This work is supported by the project “ANTREPRENORDOC”, in the framework of Human Resources Development Operational Programme 2014-2020, financed from the European Social Fund under the contract number 36355/23.05.2019 HRD OP /380/6/13 – SMIS Code: 123847.
