Effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia
Aim. To analyze the effectiveness of a new method of antireflux surgery in patients with hiatal hernia. Materials and Methods. The results of treatment of 157 patients with hiatal hernia from 2016 to 2020 are analyzed. The patients were divided into 3 groups: group I, N=59, underwent laparoscopic...
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Danylo Halytsky Lviv National Medical University
2020
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oai:doaj.org-article:c1ea773b2f34476f9244a96d93d818052021-11-10T19:49:51ZEffectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia1029-42442415-330310.25040/aml2020.04.050https://doaj.org/article/c1ea773b2f34476f9244a96d93d818052020-12-01T00:00:00Zhttps://amljournal.com/index.php/journal/article/view/9https://doaj.org/toc/1029-4244https://doaj.org/toc/2415-3303Aim. To analyze the effectiveness of a new method of antireflux surgery in patients with hiatal hernia. Materials and Methods. The results of treatment of 157 patients with hiatal hernia from 2016 to 2020 are analyzed. The patients were divided into 3 groups: group I, N=59, underwent laparoscopic antireflux operation modified by the authors (Patent of Ukraine № 59772); group II (N=77), underwent laparoscopic Nissen fundoplication; and group III (N=21) - laparoscopic Toupet fundoplication. Results and Discussion. At 36 months post-surgery follow-up, there was a statistically significant difference in favor of group I on the average scores of the visual analog scale for reflux symptoms, dysphagia and extraesophageal symptoms; the average quality of life questionnaire scores; the average DeMeester index; distribution of the patients by satisfaction; distribution of the patients by degree of reflux esophagitis according to the Los Angeles classification; and distribution by gas-bloat syndrome. Conclusions. Clinical application of the developed new method of laparoscopic surgery for hiatal hernia reduces the number of relapses and complications after surgery, and improves the quality of life of patients.A.R. StasyshynA.A. HurayevskyyYu.Y. HolykDanylo Halytsky Lviv National Medical Universityarticlehiatal hernia, antireflux surgery, new methods of treatmentMedicine (General)R5-920ENUKActa Medica Leopoliensia, Vol 26, Iss 4, Pp 50-55 (2020) |
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EN UK |
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hiatal hernia, antireflux surgery, new methods of treatment Medicine (General) R5-920 |
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hiatal hernia, antireflux surgery, new methods of treatment Medicine (General) R5-920 A.R. Stasyshyn A.A. Hurayevskyy Yu.Y. Holyk Effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia |
description |
Aim. To analyze the effectiveness of a new method of antireflux surgery in patients with hiatal hernia.
Materials and Methods. The results of treatment of 157 patients with hiatal hernia from 2016 to 2020 are analyzed. The patients were divided into 3 groups: group I, N=59, underwent laparoscopic antireflux operation modified by the authors (Patent of Ukraine № 59772); group II (N=77), underwent laparoscopic Nissen fundoplication; and group III (N=21) - laparoscopic Toupet fundoplication.
Results and Discussion. At 36 months post-surgery follow-up, there was a statistically significant difference in favor of group I on the average scores of the visual analog scale for reflux symptoms, dysphagia and extraesophageal symptoms; the average quality of life questionnaire scores; the average DeMeester index; distribution of the patients by satisfaction; distribution of the patients by degree of reflux esophagitis according to the Los Angeles classification; and distribution by gas-bloat syndrome.
Conclusions. Clinical application of the developed new method of laparoscopic surgery for hiatal hernia reduces the number of relapses and complications after surgery, and improves the quality of life of patients. |
format |
article |
author |
A.R. Stasyshyn A.A. Hurayevskyy Yu.Y. Holyk |
author_facet |
A.R. Stasyshyn A.A. Hurayevskyy Yu.Y. Holyk |
author_sort |
A.R. Stasyshyn |
title |
Effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia |
title_short |
Effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia |
title_full |
Effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia |
title_fullStr |
Effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia |
title_full_unstemmed |
Effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia |
title_sort |
effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia |
publisher |
Danylo Halytsky Lviv National Medical University |
publishDate |
2020 |
url |
https://doaj.org/article/c1ea773b2f34476f9244a96d93d81805 |
work_keys_str_mv |
AT arstasyshyn effectivenessanalysisofthenewmethodofantirefluxsurgeryinpatientswithhiatalhernia AT aahurayevskyy effectivenessanalysisofthenewmethodofantirefluxsurgeryinpatientswithhiatalhernia AT yuyholyk effectivenessanalysisofthenewmethodofantirefluxsurgeryinpatientswithhiatalhernia |
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1718439718068158464 |