Introduction. The problem of optimal surgical plastic of hiatal defect is still very relevant. Patients undergoing these interventions suffer from varying degrees of severity of dysphagia and inability to cope independently with excess air in the stomach (gas bloating syndrome), which noted 80% of patients because the artificially created cuff is the absolute valve. Recently, a number of surgeons have applied the operation proposed by J. Dor, which provides laparoscopic mobilization of the distal portion of the esophagus, front and rear cruroraphy and front fundoplication.
The aim of investigation — erasing of effective laparoscopic treatment diaphragmal hernia.
Materials and methods. From the total number of performed laparoscopic operations in case esophageal hernias, over the past three years, 27 operations were performed by the method of Dor. Of these, 19 were men and 8 women, the average age of patients was (42.1±8.5) years. Medical history, disease duration was on average (7.6±3.1) years, during which patients were treated in gastroenterology on GERD without significant positive results. All patients had esophageal hernia II–III degree.
Own results. According to our results of treatment, none of the patients complained of any dysphagia and gas bloating syndrome. We believe the benefits of Dor techniques simplicity, reducing the time and trauma intervention, physiological recovery angle of His and abdominal position of the distal part of esophagus, thereby avoiding severe functional disorders in the postoperative period.
Conclusions. In our view, anterior fundoplication for Dor is more physiological and avoids of severe functional disorders in the postoperative period.