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Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition) ›› 2022, Vol. 09 ›› Issue (04): 199-203. doi: 10.3877/cma.j.issn.2095-8765.2022.04.006

• Review • Previous Articles     Next Articles

New progress in the surgical treatment of hiatal hernia

Hongpan Yu1, Yiping Lu2,()   

  1. 1. Changchun University of Chinese Medicine, Changchun 130117, China
    2. Oncology Surgery Department of Beijing Hospital of Traditional Chinese Medicine, Beijing 100010, China
  • Received:2022-08-20 Online:2022-11-15 Published:2023-05-22
  • Contact: Yiping Lu

Abstract:

Hiatal hernia (HH) is a common surgical disease.Clinically, it is mainly divided into type 4: type I is sliding esophageal hiatal hernia and type Ⅱ-Ⅳ are paraesophageal hernia. At present, the surgical treatment is mainly for esophageal hiatal hernia repair combined with anti-reflux surgery, but the surgical choice and mesh choice are still controversial. Elderly patients and obesity are high risk factors for HH, and the grade of age and surgical choice are still the direction of our exploration. For obese patients with HH, HH repair or fundoplication should be performed routinely. The author will analyze and summarize some puzzles in the surgical treatment of hiatal hernia,In order to propose new ideas for the study of esophageal hiatal hernia.

Key words: Hernia, hiatal, Surgery, Aged, Obesity, Mesh

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