ANALYSIS OF RECONSTRUCTIONS OF CARDIOESOPHAGEAL JUNCTION OF TERES LIGAMENT IN THE TREATMENT OF HIATAL HERNIAS | Issues of reconstructive and plastic surgery. 2014. № 1(48).

ANALYSIS OF RECONSTRUCTIONS OF CARDIOESOPHAGEAL JUNCTION OF TERES LIGAMENT IN THE TREATMENT OF HIATAL HERNIAS

Results of surgical treatment of 27 patients with hiatal hernias aft er cardiopexia of ligamentum teres (Rampal- Narbona technique) are described in the article. This operation means using teres ligament for reconstruction of Hiss angle, fixation of cardia and distal part of esophagus in the abdominal cavity. No deaths were observed aft er the surgeries. Complications had patients older than 60 years in postoperative period. Re-survey showed one (3,7%) case of recurrence of hiatal hernia and three (11,1%) cases of reflux-esophagitis relapse in 10-18 months aft er the surgery. Two (7,4%) patients with Barret’s esophagus did not reveal any negative changes such as increased metaplasia foci or rising dysplasia grade. These results demonstrate limited efficacy of cardioterespexia. Authors consider the cardiopexia of liga-mentum teres to be used in clinical practice in case of its improving.

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Keywords

teres ligament, hiatal hernia, cardiopexia, круглая связка печени, кардиопексия, грыжа пищеводного отверстия диафрагмы

Authors

Name	Organization	E-mail
Petlin G.F.		vfr iez@hotmail.com
Dambayev G.Ts.
Solovyov M.M.
Popov A.M.

Всего: 4

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