Abstract
Objective: To review the experience of diagnoses and surgical treatment of congenital hiatus hernia. Methods: From January 1991 to Fe bruary 2000, 27 patients with congenital hiatus hernia underwent surgery. The diagnosis was made by barium meal examination. The surgical procedure consisted hernia repair in 27, and anti reflux procedures in 21, Nissen's fundoplication in 17, Belsey's operation in 4. Left thoracic approach was used in 9 cases, right thoracic in 3 and transabdomen in 15. Results: There was 1 operative death. The mean follow -up time was 23.1 months (range, 3 months to 7 years). 1 had recurrence, 2 patients with simple repair had moderate gastroesophageal reflux (GER). The rest of patients were satisfied. Conclusions: Medical treatment may have good response to patients with type I hiatus hernia. For type II patients, surgical treatment should be considered. Addition antireflux surgery should be considered for those patients who have severe vomiting and gastroesophageal reflux. Postoperative complications may related to operative approach.
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