[Eclectic surgery of gastroesophageal reflux-hiatal hernia].

Abstract

We have reviewed 1,725 cases of RGE-HH, corresponding to the period between February 1967 to July 1989; the total number of clinical histories in that period of time was 17,553. Of this series, 1,594 (92.OFF were sliding hernias; 214 (12.4%) were operated. In order to prevent recurrences, in 146 cases (68.2%) of sliding hernia, which we expose in the present paper, we have employed different surgical techniques, associated to the pexia of the round ligament. Presently, the surgical technique of our preference is the anterior SemiNissen or Dor's hemivalve, with closure of the His' angle, the hiatus and the pillars of the diaphragm, when indicated, and pexia of the round ligament. There has not been mortality and the results have been excellent in 81.6% of the cases; good in 10.3%; fair in 4.5%, and poor or recurrence in 3.4%.