Surgical treatment of hiatal hernia: a 10-year survey

摘要: The results of surgical treatment 150 patients with hiatal hernia in the decade 1952-62 are presented. They were followed from three to 13 years after herniorrhaphy. All 131 alive interviewed or communicated with. Fifty-one per cent had a previous abdominal operation. It is concluded that oesophagoscopy essential confirm diagnosis and exclude presence oesophagitis, stricture, neoplasm before beginning any treatment, be it medical surgical. Anti-obesity measures advisable operative treatment. A left transthoracic, Allison type repair gives excellent over 80% patients, relief all symptoms. An anchoring suture between under surface diaphragm fundus stomach does not improve this repair. There an occasional place for right-sided approach if other lesions require correction. After successful operation must continue limit quantity food they eat keep their weight down normal level. Two briefly described whose symptoms, due severe developed following prolonged nasogastric intubation. third report describes unusual post-operative complication perforation Richter-type into pleural cavity eight months