70 -10 (84) 2025 - Kurbanov O.M., Shukurov M.B. - REVIEW OF MODERN METHODS OF SURGICAL TREATMENT OF DIAPHRAGMATIC HERNIAS
REVIEW OF MODERN METHODS OF SURGICAL TREATMENT OF DIAPHRAGMATIC HERNIAS
Kurbanov O.M. - Bukhara State Medical Institute named after Abu Ali ibn Sina
Shukurov M.B. - Bukhara State Medical Institute named after Abu Ali ibn Sina
Yarikulov Sh.Sh. - Bukhara State Medical Institute named after Abu Ali ibn Sina
Resume
The article presents a review of literature dated 2011-2020 devoted to results of surgical treatment of small diaphragmatic hernias and gastroesophageal reflux disease. Small hernias are encountered with the frequency of 90%. The study discusses modern problems in application of different surgical methods for treatment of this pathology. Based on the review of domestic and foreign literature, we aimed to determine advantages of laparoscopic ant-reflux surgery versus conservative treatment and open surgery methods. Search for the materials was carried out in Scopus, Web of science, PubMed, e-library, Ulrich’s Periodicals Directory, Google Scholar and AGRIS databases. The keywords used were “small diaphragmatic hernias”, “operative treatment” and “gastroesophageal reflux disease”. The purpose of search for literature was to reveal main indications and selection criteria for laparoscopic ant-reflux surgery as well as to draw a comparison between results of cruroraphia and Nissen fundoplication by the frequency of relapse and complications. Additionally, we aimed to compare different operative techniques for fundoplication and to determine the most optimal one for improvement of the patients’ quality of life. Advantages of laparoscopic anti-reflux surgery in comparison with conservative treatment and open surgery methods have been revealed.
Key words: gastroesophageal reflux disease, small diaphragmatic hernias, laparoscopic anti-reflux surgery, posterior cruroraphia, Nissen fundoplication.
First page
384
Last page
393
For citation:Kurbanov O.M., Shukurov M.B., Yarikulov Sh.Sh. - REVIEW OF MODERN METHODS OF SURGICAL TREATMENT OF DIAPHRAGMATIC HERNIAS//New Day in Medicine 10(84)2025 384-393 https://newdayworldmedicine.com/en/new_day_medicine/10-84-2025
List of References
- Wileman SM, McCann S, Grant AM, Krukowski ZH, Bruce J. Medical versus surgical management for gastroesophageal reflux disease in adults The Cochrane Database of Systematic Reviews. 2015;17(3):45-48.
- Anvari M, Allen C, Marshall J, Armstrong DA. Randomized controlled trial of laparoscopic Nissen fundoplication versus proton pump inhibitors for the treatment of patients with chronic gastroesophageal reflux disease (GERD): 3 – year outcomes. Surgical Endoscopy. 2016;25(8):2547-5254.
- Galmiche JP, Hatlebakk J, Attwood S, Ell C, Fiocca R, Eklund S, Lаngström G, Lind T, Lundell L. Laparoscopic antireflux surgery versus esomeprazole treatment for chronic gastroesophageal reflux disease: the LOTUS randomized clinical trial. Journal of American Medical Association. 2016;305(19):1969–1977.
- Rickenbacher N, Koetter T, Kochen MM, Scherer M, Blozik E. Fundoplication versus medical management of gastroesophageal reflux disease: systematic review and meta – analysis. Surgical Endoscopy. 2018;28(1):143-155.
- Grant AM, Cotton SC, Boachie C, Ramsay CR, Krukowski ZH, Heading RC, Campbell MK. Minimal access surgery compared with medical management for gastroesophageal reflux disease: five – year follow – up of a randomised controlled trial (REFLUX). British Medical Journal. 2018;(346):f1908.
- Glatzel D, Abdel – Qader M, Gatz G, Pfaffenberger B. Pantoprazole 40 mg is as effective as esomeprazole 40 mg to relieve symptoms of gastroesophageal reflux disease after 4 weeks of treatment and superior regarding the prevention of symptomatic relapse. Digestion. 2018;75(1): 69-78.
- Stefanidis D, Hope WW, Kohn GP, Reardon PR, Richardson WS, Fanelli RD. Guidelines for surgical treatment of gastroesophageal reflux disease. Surgical Endoscopy. 2018;24(11):2647-2669.
- Peters MJ, Mukhtar A. Meta – analysis of randomized clinical trials comparing open and laparoscopic anti – reflux surgery. American Journal of Gastroenterology. 2018;104(6):1548-1561.
- Broeders JA, Roks DJ, Ahmed AU, Watson DI, Baigrie RJ, Cao Z, Hartmann J, Maddern GJ. Laparoscopic anterior 180 – degree versus Nissen fundoplication for gastroesophageal reflux disease: systematic review and meta – analysis of randomized clinical trial. Annals of Surgery. 2018;257(5):850-859.
- Khan M, Smythe A, Globe J, Stoddard CJ. Randomized controlled trial of laparoscopic anterior versus posterior fundoplication for gastroesophageal reflux disease. Australian and New Zeland Journal of Surgery. 2018;80(7-8):500–505.
file
download