Hiatus hernia -- the method of repair. A comparison of that done below the diaphragm with that done above.

Abstract

IT has long been recognized that a large hiatus hernia may exist and be unassociated with symptomatology. In fact, this may be true for some 75 per cent of esophageal hernias. Nevertheless, the complications of hiatus hernia can produce symptoms that are readily treatable by surgical repair. Before present-day knowledge of the anatomy of the esophageal hiatus and the development of safer anesthesia and of surgical technics for satisfactory repair of such hernias, most of these patients were treated by medical means, and many unsatisfactorily so. The organic complications of hernia (peptic ulceration, bleeding and stricture formation) and the resulting . . .