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Hill antireflux operation

¹Department of Surgery, Virginia Mason Medical Center, Seattle, Washington, USA.

Chest Surgery Clinics of North America

|August 1, 1995

Summary

This summary is machine-generated.

The Hill procedure offers durable and effective antireflux surgery for various conditions, including recurrent hiatal hernias. Long-term studies show over 85% patient satisfaction, with significant quality-of-life improvements after surgery.

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Area of Science:

Gastroenterology
Surgical Innovation
Medical Device Technology

Background:

The Hill procedure is a recognized surgical technique for managing gastroesophageal reflux disease (GERD).
Previous studies have indicated its efficacy in primary, recurrent, and complicated cases of reflux and hiatal hernias.
The procedure's applicability has been extended to laparoscopic antireflux operations.

Purpose of the Study:

To review the long-term durability and patient satisfaction following the Hill antireflux operation.
To assess the impact of the Hill procedure on patients' quality of life.
To evaluate the effectiveness of the Hill procedure in various patient populations, including those with failed previous operations or peptic esophageal stricture.

Main Methods:

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A review of a long-term follow-up study of 167 patients who underwent the Hill operation, with follow-up ranging from 15 to 20 years.

A quality-of-life analysis of 60 patients undergoing open antireflux surgery, using a modified Visick-type classification and patient-reported outcomes.

Prospective rating of quality of life on a 0-10 scale preoperatively and one year postoperatively.

Main Results:

The longest follow-up study (15-20 years) demonstrated that over 85% of patients remained completely satisfied with their Hill operation results.
Quality-of-life analysis showed dramatic improvements in symptom scores and patients' individual perceptions of well-being one year after surgery.
The Hill procedure was found to be highly effective and safe for primary, recurrent, and complicated antireflux problems, with long-term durability.

Conclusions:

The Hill procedure is a durable and effective long-term solution for antireflux surgery.
The technique is applicable in both open and laparoscopic approaches.
Minor modifications to the surgical technique can enhance its ease of application for surgeons treating antireflux disease.