[Clinical and therapeutic considerations on 201 operated hiatal hernias]

A total of 201 patients have been operated over the last 8 years, presenting with hiatal hernias. Five of the patients had para-oesophagian hiatal hernia while the remaining 196 had hiatal hernias following slippage. Some 107 hernias were isolated, and had a classical etiopathogeny, with gastro-oesophagial reflux in 85% of the cases. Cardio-vascular disturbances and digestive hemorrhage were present in 15% of the cases. In 89 patients the hiatal hernias were associated with various affections in the supra-mesocolic space. There were 54 patients with biliary affections and 35 with piloro-duodenal affections. The indication for operation was established on the basis of clinical symptoms which included gastrooesophagial reflux, radiological signs of the reflux and indirect signs of oesophagitis. The surgical procedures employed were various, and included a personal procedure. The immediate and the late postoperative results were similar to those reported in the specialized literature.