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3 . 2022

The use of a large omentum in the surgical treatment of hernias of the esophageal orifice of the diaphragm and Barrett’s esophagus

Abstract

Background. Hernia of the esophageal opening of the diaphragm and Barrett’s esophagus represent a special group of pathologies in surgery. The choice and improvement of methods for surgical correction of these diseases is a particular problem.

Aim. To apply a new method of surgical treatment of hiatal hernia and Barrett’s esophagus.

Material and methods. During the development of the method, experimental operations were carried out in 4 cats and 2 dogs. Also, the method was tested using cadaver material. The studies were carried out in accordance with the ethical requirements for working with experimental animals and approved by the ethical committee.

Results. Comparative characteristics with already known methods of treatment were carried out: fundoplication according to Nissen, Tupe, Dor, Chernousov with selective proximal vagotomy. The essence of the obtained method lies in the use of a greater omentum to form the true angle of His.

Conclusion. The proposed method of treatment with the use of flaps of the greater omentum allows to preserve the anatomical structure as much as possible, reduce the incidence of complications and accelerate the recovery time.

Keywords:hiatal hernia; Barrett’s esophagus, greater omentum; stomach; fundoplication

Funding. The study was not sponsored.
Conflict of interest. The authors declare no conflict of interest.
For citation: Terichev A.E., Kurusin V.M., Kurusina E.V., Shalin V.V. The use of a large omentum in the surgical treatment of hernias of the esophageal orifice of the diaphragm and Barrett’s esophagus. Clinical and Experimental Surgery. Petrovsky Journal. 2022; 10 (3): 125–30. DOI: https://doi.org/10.33029/2308-1198-2022-10-3-125-130  (in Russian)

References

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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