Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.2 - Aprilie-Iunie 2014 | duminică, 23 noiembrie 2014
ISSN: 1584 - 9341 Vol.10 No.2 - April-June 2014
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LAPAROSCOPIC TREATMENT OF HIATAL HERNIA – STUDY OF 40 CASES
Lăcrămioara Perianu (1), N. Dănilă (2), C. Bradea (2)
(1) Department of Anatomy; (2) First Surgical Clinic „St. Spiridon” Hospital Iaşi
University of Medicine and Pharmacy „Gr.T.Popa” Iaşi
Jurnalul de chirurgie 2009; 5 (1): 52-55
Full text:
Format PDF (Română/Romanian)

Abstract:

Minimally invasive surgery has changed the therapeutic approach in the most frequent eso-gastric diseases. With the excellent results in the control of symptoms and low associated morbidity, laparoscopic surgery is indicated in hiatal hernia, as a superior alternative to the classical surgical treatment. Aim: The authors performed a retrospective study analyzing the functional results and the long term outcome of laparoscopic repair of hiatal hernias. Material and methods: From 1994 to 2006, 40 patients underwent a laparoscopic procedure for a symptomatic hiatal hernia, 7 of them being converted into open surgery. Results: mean operating time was 154±37 minutes, mean hospital time was 6.16 days for successful laparoscopic surgery and 14.8 days in case of conversions. The associated morbidity was related with conversion (19.44%), splenic rupture (4.84%) and respiratory diseases (4.65%). Mortality rate was 0.5%. Discussions: the obtained results were compared with the published data allowing us to discuss about indications of laparoscopic surgery, technical difficulties and clinical outcome. For hiatus hernia and gastroesophageal reflux, Nissen fundoplication by laparoscopy is the technique of choice. Conclusions: Objective anatomical studies are required in order to determine the indications and contraindications of laparoscopic surgery.

KEY WORDS: HIATAL HERNIA, LAPAROSCOPY, NISSEN OPERATION

Correspondence to: Lăcrămioara Perianu, MD; Department of Anatomy, University of Medicine and Pharmacy „Gr.T.Popa” Iaşi, Bd. Independenţei, No. 1, 700111, Iaşi, Romania;



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.