V.I. Fedorov2,3, M.V. Burmistrov1,2, T.L. Sharapov3, E.I. Sigal3
1Republican Clinical Hospital, Kazan
2Kazan (Volga Region) Federal University, Institute of Fundamental Medicine and Biology, Kazan
3Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic named after prof. M.Z. Sigal, Kazan
Fedorov Vladimir I. ― Cand. of Sci. (Med.), Associate Professor of the Department of Surgery, Obstetrics and Gynecology of the Kazan (Volga Region) Federal University, Institute of Fundamental Medicine and Biology; oncologist of the Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic named after prof. M.Z. Sigal
29 Sibirskiy trakt, Kazan, 420029, Russian Federation, tel. +7-965-588-51-88, e-mail: firstname.lastname@example.org
Relevance. The problem of modern gastroenterology is the treatment of neuromuscular diseases of the esophagus and gastroesophageal reflux disease on the background of hiatal hernia.
The Aim ― to assess the immediate and long-term results of surgical treatment of patients with neuromuscular diseases of the esophagus and gastroesophageal reflux disease on the background of hiatal hernia.
Material and methods. On the basis of the Tatarstan Cancer Center and the Tatarstan Republic Hospital 1487 associated with gastroesophageal reflux (GER, with hiatal hernia). The work is based on the results of reoperations after surgical treatment of hiatal hernia (76).
Results. 25 years of experience in surgical treatment with the use of minimally invasive techniques in patients with a diagnosis of gastroesophageal reflux disease (GERD) against the background of a hiatal hernia (HH) was evaluated. The causes of relapses in both hiatal hernia are analyzed, and long-term results of repeated and subsequent operations are presented.
Conclusion. Minimally invasive interventions in the form of Nissen operations should be carried out by experienced specialists who in the centers own not only laparoscopic interventions, but also have experience in open antireflux operations for these pathologies.
Key words: gastroesophageal reflux disease, complications of laparoscopic antireflux operations, repeated and subsequent surgery.