Creative surgery for hiatal hernia

Галимов, О. В.; Khanov, V. O.; Mamadaliev, D. Z.; Sayfullin, R R; Sagitdinov, R R

doi:10.17116/hirurgia2017730-32

Cited by 6 publications

(5 citation statements)

References 2 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The "Balloon X-ray" Method (aka traction X-ray balloonography method) developed by authors increases the HH diagnostics effectiveness; which allows us to evaluate the valve function of the cardia and, most importantly, to establish the true dimensions of the hiatus esophagus [5].…”

Section: Discussionmentioning

confidence: 99%

“…The "Balloon X-ray" Method (aka traction X-ray balloonography method) developed by authors (Copyright certificate for the invention N 1463233) was used to evaluate the valve function of the cardia and, to establish the true dimensions of the hiatus esophagus [5]. The detailed description of the original method can be found below.…”

Section: Methodsmentioning

confidence: 99%

“…When discussing modern methods of surgical correction of hiatal hernia, restoring the functional state of the esophageal-gastric junction and creating an anti-reflux barrier become a priority. The introduction of video-endoscopic technologies has made it possible to increase the effectiveness of anti-reflux surgical procedures [5,7,9].…”

Section: Introductionmentioning

confidence: 99%

“…With the increase in the number of laparoscopic surgeries to treat hiatal hernia performed at hospitals and clinics of the city of Ufa (Russia), in recent years, doctors have often faced the problem of rising rates of unsatisfactory results associated with relapse of hiatal hernia and/or the development of pathological postoperative symptom complexes. According to our observations, many complications following the operations to correct hiatal hernia are associated with insufficient or excessive narrowing of the esophagus [5]. In order to address this issue, authors propose a new original X-ray balloon method that allows to improve the quality of diagnosis of hiatal hernia significantly and the results are presented in this paper.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Challenges in the Surgical Correction of Hiatal Hernias and Ways to Overcome Them

Галимов

Khanov

Galimov

2021

Serbian Journal of Experimental and Clinical Research

View full text Add to dashboard Cite

More than a thousand laparoscopic fundoplication operations for hiatal hernia (HH) have been performed at the Clinic of the Bashkir State Medical University over the period between 2000 and 2019 and the results of surgical treatment of 502 patients were analyzed. Our research results indicate that routine instrumental methods used in hiatal hernia diagnosis provide valuable information, however only their combined application allows us to establish the correct diagnosis in all patients. Authors propose a new original X-ray balloon method that allows to improve the quality of diagnosis of hiatal hernia significantly. Balloon X-ray allows us to establish the true dimensions of the hiatus and select the most appropriate treatment accordingly. Isolated fundoplication without plastic of esophageal opening was performed in 180 patients. Surgical correction of the hiatus was performed on 322 patients. Diaphragmcrouroraphy was carried out in 199 cases, in 123 cases mesh implants were used to support the crus of the diaphragm. In 215 cases, simultaneous surgical procedures were performed to treat multiple abdominal pathology. We studied the changes in quality of life of 100 patients with hiatal hernia before and after laparoscopic esophagofundoplication by comparing the results of the survey (questionnaires) and medical examination of the cardiac sphincter of the esophagus function. The vast majority of patients demonstrated a significant improvement in the cardiac closure function, a decrease in the frequency and severity of gastroesophageal reflux, and reduced signs of reflux esophagitis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Challenges in the Surgical Correction of Hiatal Hernias and Ways to Overcome Them

Галимов

Khanov

Galimov

2021

Serbian Journal of Experimental and Clinical Research

View full text Add to dashboard Cite

show abstract

“…№ 3 (88) тивного втручання запропоновано багато за ходів. Найбільш вагомим досягненням остан ніх десятиріч стало впровадження відеоендоскопічних технологій, які дозволили мінімізу вати травматичність операції та зробити мож ливими складні й об'ємні операції в пацієнтів високого ризику [6], зокрема симультанних операцій за коморбідної абдомінальної пато логії [7]. Однак і лапароскошчні операції справ ляють негативні ефекти, пов'язані насампе ред із напруженим карбоксиперитонеумом, що може бути причиною ішемії / реперфузії внут рішніх органів, а отже, і причиною запальної відповіді [8].…”

Section: в ступunclassified

Dynamics of C-reactive protein blood level after herniolastics and simultaneous operations depending on the methods of perioperative support

Parkhomenko

2020

MTT

View full text Add to dashboard Cite

The dynamics of C-reactive protein (CRP) blood level after hemioplasty and simultaneous interventions with principles of "Fast-track surgery" in the perioperative period was studied. The dynamics of CRP blood level in 60 patients in whom the principles of "Fast-track surgery" were applied, including a thorough examination before the operation to diagnose combined abdominal pathology and clinically significant general somatic pathology; if necessary, prescribe a course of therapy for full compensation of general somatic pathology; during the operation of epidural prolonged anesthesia; choice in favor of laparoscopic technology; at the end of the operation of irrigation of the subphrenic space by local anesthetic; after surgery: early removal of drainage, opioid withdrawal with the appointment of parenteral paracetamol; in inguinal hemioplasty – prolonged local anesthesia after surgery; activation of the patient in 6-8 hours after operation; on the day of surgery – the use of chewing gum and fluid intake and from the first day – intake of low-calorie liquid food. Traditional perioperative management methods were used in 67 patients. It was found that in patients who underwent hernia plastics, there is an increase in the concentration of CRP in the postoperative period, which is one of the manifestations of the systemic inflammatory response, and especially pronounced after simultaneous operations. The use of the principles of «Fast-track surgery» in the complex of perioperative support contributes to better normalization of CRP concentration and faster elimination of the manifestations of systemic inflammatory response. Keywords: hemioplasty, simultaneous operations, C-reactive protein, "Fast-track surgery".

show abstract

The Lifetime Morphometry of Cardioesophageal Transition in Patients With Hiatal Hernia

et al. 2022

View full text Add to dashboard Cite

With the development of X-ray technology and the advent of computed tomography, it became possible not only to accurately diagnose hiatal hernia, but also to conduct morphometry of all its constituent anatomical structures in different projections to use the data obtained at the stage of preoperative planning for its surgical treatment. Currently, due to the improvement in the quality of diagnostics, there is an increase in the detection of patients with this pathology, along with this, the question of choosing the most rational method of treatment is acute. The aim of the study was to study the computed tomographic anatomy of the structures of the cardioesophageal junction in patients with hiatal hernia. A retrospective study of a series of computed tomograms in 53 patients with hiatal hernia, performed on a 64-slice Canon Aquilion Prime tomograph, was carried out. An assessment was made of the diameter of the distal esophagus, the size of the hernia orifice, and the deviation of the axis of the esophagus at the level of the hernial orifice relative to the diaphragm in two planes. As a result of the analysis, it was found that in 79% of cases the esophagus was located on the right and behind the hernial sac, in 13% - behind and in the middle, in 8% - on the left and behind. It was revealed that the diameter of the unchanged part of the esophagus above the hernial sac was 20.9±3.71 mm (min – 15.7 mm, max – 30.2 mm). The dimensions of the hernial orifice varied within 31.21±5.23 mm in the frontal plane (min - 24.7 mm, max - 42 mm) and 32.66±4.36 mm in the sagittal plane (min - 26.2 mm, max - 39.1 mm). The deviation of the axis of the esophagus in the frontal plane was 63.53°±16.74 (min - 19.6°, max - 92.3°). The deviation of the axis of the esophagus in the sagittal plane was 74.12°±21.31 (min - 36.3°, max - 118.1°). Thus, due to the variability in the structure and location of the anatomical structures of the cardioesophageal zone in patients with hiatal hernia, it is necessary to take into account all of the above indicators, including the presence or absence of large branches of the greater omentum in the hernial sac, body type, gender, age of patients, which serves an integral part of preoperative planning of surgical treatment, optimization and reduction of complications, as well as determining the safest method of its surgery.

show abstract

Creative surgery for hiatal hernia

Cited by 6 publications

References 2 publications

Challenges in the Surgical Correction of Hiatal Hernias and Ways to Overcome Them

Challenges in the Surgical Correction of Hiatal Hernias and Ways to Overcome Them

Dynamics of C-reactive protein blood level after herniolastics and simultaneous operations depending on the methods of perioperative support

The Lifetime Morphometry of Cardioesophageal Transition in Patients With Hiatal Hernia

Contact Info

Product

Resources

About