CLASSIC AND ALTERNATIVE METHODS OF SURGICAL TREATMENT OF HIATAL HERNIA (REVIEW OF THE LITERATURE)

Abstract

The article contains a historical excursion into esophageal surgery, describes the history of the origin of transchiatic access to the mediastinum, which was the key to operations on the distal esophagus, and provides an overview of surgical procedures for the hernia of the esophageal orifice of the diaphragm. The methods were divided into two groups: one of them imagines methods that are performed for a long time, these are fundoplications according to Nissen, Dor, Toupet, Chernousov, who have proven themselves as effective and time-tested, the second group included relatively recently developed and implemented operations in clinical practice, such as Operation Stretta, transoral endoscopic fundoplication cardioteresplasty, installation of a LINX system. The article provides historical facts, a brief description of each method, advantages and disadvantages. The analysis showed that some non-classical methods can be used, but each method must be applied selectively and individually. Given that one hundred percent effectiveness of methods has not yet been achieved, the search for new methods remains relevant.

Keywords

• диафрагмальная грыжа, кардиотереспластика, круглая связка печени, лапароскопические операции, хирургия пищевода