DOR’s operation in treathment hiatal hernia patients


  • V.E. Vansovich
  • Yu.M. Kotik
  • I.V. Harkovenko
Keywords: Gastro-esophageal diaphragm hernia, Dor’s method

Abstract

The problem of optimal surgical plastic hiatal defect is still very relevant. These patients suffer from varying degrees of severity of dysphagia and inability to cope independently with excess air in the stomach (gas bloating syndrome), which noted 80% of patients because the artificially created cuff is the absolute valve. Recently, a number of surgeons have applied the operation proposed by J. Dor, which provides laparoscopic mobilization of the distal portion of the esophagus (but without the need cutting short gastric arteries), front and rear kruroraphy and front fundoplication. During the last five years was performed 56 these operations by the Dor’s method were performed. According to our results of treatment, none of the patients did not complain of any esophagus reflux symptoms and gas bloating syndrome. We believe that the benefits of techniques J. Dor are simplicity of technical performance, reducing the time and trauma intervention, physiological recovery angle of His and abdominal position of the distal part of esophagus, thereby avoiding severe functional disorders in the postoperative period.

References

1. Ospanov, O. B. & Volchkova, I. S. (2012). K obosnovaniyu vybora metodiki laparoskopicheskoj fundoplikacii. Sovremennye problemy nauki i obrazovaniya, 2, 20–23. [in Russian].

2. Bremner, R. M., DeMeester, T. R. & Crookes, P. F. (1994). The effect of symptoms and nonspecific motility abnormalities on outcomes of surgical therapy for gastroesophageal reflux disease. J. Thorac. Cardiovasc. Surg., 107 (5), 1244–1250.

3. Dunnington, G. L. & DeMeester T. R. (1993). Outcome effect of adherence to operative principles of Nissen fundoplication by multiple surgeons. The Department of Veterans Affairs Gastroesophageal Reflux Disease Study Group. Am. J. Surg., 166 (6), 654–659.

4. Hinder, R. A., Filipi, C. J., & Wetscher, G. (1994). Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann. Surg., 220 (4), 472–483.

5. Hunter, J. G., Swanstrom, L. & Waring, J. P. (1996). Dysphagia after laparoscopic antireflux surgery. The impact of operative technique. Ann. Surg., 224 (1), 51–57.

6. Mehta, S., Bennett, J. & Mahon, D. (2006). Prospective trial of laparoscopic Nissen fundoplication versus proton pump inhibitor therapy for gastroesophageal reflux disease: seven-year follow-up. J. Gastrointest. Surg., 10, 1312–1316.

7. Schauer, P. R., Meyers, W. C. & Eubanks, S. (1996). Mechanisms of gastric and esophageal perforations during laparoscopic Nissen fundoplication. Ann. Surg., 223 (1), 43–52.

8. Varin, O., Velstra, B. & De Sutter, S. (2009). Total vs partial fundoplication in the treatment of gastroesophageal reflux disease: a meta-analysis. Arch. Surg., 144, 273–278.
Published
2017-09-29
How to Cite
Vansovich, V., Kotik, Y., & Harkovenko, I. (2017). DOR’s operation in treathment hiatal hernia patients. Reports of Vinnytsia National Medical University, 21(1(1), 29-31. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/67