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Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

Khizrieva N.I.

Vishnevsky National Medical Research Center of Surgery

Zamolodchikov R.D.

Vishnevsky National Medical Research Center of Surgery

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

Vagapov A.I.

Vishnevsky National Medical Research Center of Surgery

Laparoscopic procedures for recurrent hiatal hernias

Authors:

Starkov Yu.G., Khizrieva N.I., Zamolodchikov R.D., Dzhantukhanova S.V., Vagapov A.I.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2026;(1): 14‑19

DOI: 10.17116/hirurgia202601114

Read: 723 times

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Table of contents

LAPAROSCOPIC PROCEDURES FOR RECURRENT HIATAL HERNIAS
LAPAROSCOPIC PROCEDURES FOR RECURRENT HIATAL HERNIAS

To cite this article:

Starkov YuG, Khizrieva NI, Zamolodchikov RD, Dzhantukhanova SV, Vagapov AI. Laparoscopic procedures for recurrent hiatal hernias. Pirogov Russian Journal of Surgery. 2026;(1):14‑19. (In Russ.)
https://doi.org/10.17116/hirurgia202601114

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Recommended articles:
Collis—Nissen esophagogastroplasty for hiatal hernia and short esophagus. Piro­gov Russian Journal of Surgery. 2025;(10):56-62
Lapa­roscopic procedures for recu­rrent hiatal hernias. Piro­gov Russian Journal of Surgery. 2026;(2):23-28
Abstract:

OBJECTIVE

To evaluate the immediate and long-term results of laparoscopic surgical procedures in patients with recurrent hiatal hernias (rHH).

MATERIAL AND METHODS

Thirty-six patients with rHH underwent laparoscopic mesh repair and Nissen fundoplication between 2015 and 2024. Nine patients underwent Collis-Nissen esophagogastroplasty due to intraoperative confirmation of short esophagus.

RESULTS

Mean surgery time was 3 (2—4.5) hours, length of hospital-stay — 7 (5—15) days. Intraoperative revision established cuff and part of the stomach displacement into mediastinum as a cause of rHH in 31 cases, eruption of sutures on diaphragmatic crura — in 22 cases, no primary correction of short esophagus — in 9 cases. In 5 cases, we diagnosed distal displacement of cuff. There were no intraoperative or postoperative complications. Recurrence of HH within 5 (1—10) years was noted in 2 (5.5%) patients.

CONCLUSION

Diaphragmatic crus repair with their reinforcement by mesh endoprostheses and Collis-Nissen esophagogastroplasty for short esophagus significantly reduce the risk of hiatal hernia recurrence.

Keywords:

short esophagus
hiatal hernia recurrence
Collis esophagogastroplasty
Nissen fundoplication

Authors:

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

Khizrieva N.I.

Vishnevsky National Medical Research Center of Surgery

Zamolodchikov R.D.

Vishnevsky National Medical Research Center of Surgery

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

Vagapov A.I.

Vishnevsky National Medical Research Center of Surgery

Received:

13.11.2024

Accepted:

18.11.2024

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References:

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