Abstract

Objective To explore the feasibility and safety of laparoscopic directly hiatal hernia repair. Methods Retrospective analysis the clinical data of 38 patients under laparoscopic hiatal hernia repair from December 2012 to March 2015. Results 38 cases of laparoscopic hiatal hernia repair all success directly.5 routine stomach bottom part 270°fold surgery(Toupet)33 stomach bottom part 360°fold after operation(Nissen)operation time on average 50 to 150 minutes, the average operation time, 100 in laparoscopic hiatal hernia repair, 15 to 60 ml blood loss, postoperative 24 hours to pull out the tube and liquid diet, no postoperative complications.Average hospital 7 days. Conclusion After the three months follow-up, 38 cases of patients with no recurrence of 35 cases with acid reflux, chest pain obviously improved compared with preoperative, for hiatal hernia, laparoscopic hiatal hernia repair surgery is a safe, reliable, effective treatment. Key words: Hiatal hernia; Laparoscopic; Herniorrhaphy

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