SYMPTOMATIC HIATUS HERNIA

摘要: Herniations through the esophageal hiatus of diaphragm often give rise to elusive symptoms that are common many other abdominal disorders; they sometimes also lead peptic esophagitis, severe hemorrhages, and strictures. The authors recommend medical management be tried first but operation performed if such fails relieve symptoms. Of 65 patients who underwent surgery for symptomatic hernia, 45 had complained pain was poorly localized commonly described as a sensation fulness, bloating, or pressure. Esophagoscopy carried out in 48 patients, findings were reported normal 22. Surgical repair can done by either thoracic route. essential aim is bring gastroesophageal junction back into position below keep it there. hernial sac must destroyed without injury sphincteral mechanism about cardia. This depends upon thorough understanding functions crura diaphragm, muscularis mucosae externa stomach, various parts endoabdominal fascia, left gastric artery maintaining usual Close attention detail mandatory. this series followed periods time from six months seven years, 59 became remained free after operation.