Обзор современных методов оперативного лечения диафрагмальных грыж

Abstract

Hiatal hernia amounts to 90% of all diaphragmatic hernias. According to data obtained from large-scale epidemiological studies in Europe and the USA, esophageal hernias may be revealed in 30-40% of the population, 15% among which require surgical treatment. The occurrence rate equals 91% for small hernias, 6% for large hernias and 3% for giant hernias. The article presents a review of literature dated 2011-2020 and devoted to results of operative treatment of hiatal hernia of different sizes. The search for the publications was performed in the following databases: Web of Science, Scopus, PubMed, e-library, Ulrich's Periodicals Directory, Google Scholar and AGRIS. There is a large number of methods for surgical correction of diaphragmatic hernia. However, strict indications to their application have not been developed to the date. Alloplasty provides for improvement of the clinical picture and of the patients’ quality of life, but bears quite a high risk of recurrence. To this day, treatment of hiatal hernia frequently involves application of various prosthetic materials with their certain advantages and disadvantages. Therefore, the search for optimal surgical methods for treatment of diaphragmatic hernias of different sizes continues and requires further investigation.