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[Hiatal hernia. Symptoms, diagnosis and therapy]
Zentralblatt Fur Chirurgie
|January 1, 1991
Summary
Surgery is often required for hiatal hernia treatment, with Nissen
Area of Science:
- Gastroenterology and Surgical Oncology
- Hernia Repair Techniques
Context:
- Hiatal hernia treatment at the University of Würzburg Department of Surgery between 1983 and 1989.
- Analysis of 48 patients with a mean age of 53 years.
Purpose:
- To review treatment outcomes for hiatal hernia.
- To compare different surgical interventions and their complications.
Summary:
- Conservative treatment was effective for 22% of patients.
- The majority (78%) required surgical intervention.
- Nissen's fundoplication was the predominant surgical method (48%), followed by gastropexy (17%), antrectomy with Roux's Y-gastrojejunostomy (6%), and Angelchik's prosthesis (6%).
- Complications included splenectomies (5), subphrenic abscesses (2), and pleural effusions (2).
Impact:
- Highlights the efficacy and risks associated with various surgical approaches for hiatal hernia.
- Provides insights into the management of hiatal hernias based on a retrospective cohort study.
- Informs clinical decision-making regarding the selection of operative procedures for hiatal hernias.