Relevance. Diagnosis and treatment of patients with hiatal hernia (HH) are among the most pressing issues in modern medicine. The aim of this study is to present experience in the surgical treatment of hiatal hernias using a laparoscopic approach.

Materials and Methods. In the Department of Surgery at Twins Medical Center, laparoscopic interventions for hiatal hernia and GERD were performed in 67 patients between 2023 and 2025. Results: Of the operated patients, 64 (95.6%) had axial hiatal hernia (type I), 2 (2.9%) had paraesophageal hiatal hernia (type II), and 1 (1.5%) had mixed hiatal hernia with a shortened esophagus. Crurorrhea was performed in 100% of patients: posterior in 60 (89.6%), anterior in 2 (2.9%), combined in 5 (7.5%), and alloplasty in 6 (8.9%) patients. Laparoscopic fundoplications were performed: Nissen in 46 (68.7%), Dor in 7 (10.4%) patients underwent laparoscopic fundoplication, and 14 (20.9%) patients underwent Toupet's method. Fundodiphragmopexy was performed in 61 (91.0%) patients. Simultaneous surgical interventions were performed in 5 (7.4%) patients, and conversion occurred in 1 (1.4%). There were no deaths after surgery.

Conclusions. The study results demonstrate the high efficacy of the laparoscopic approach in the surgical treatment of patients with hiatal hernia.

hiatal hernia; gastroesophageal reflux disease; laparoscopic fundoplication

Kalinina EA, Pryakhin AN. Technical aspects of laparoscopic hiatal hernia repair: literаture review and own experience. HSM South Ural State University. 2014;14(3):54-60. doi:1014529/ozfk140306. (in Russian).

Rodin AG, Nikitenko AI, Bazaev AV, Domnin МА.The experience of operative therapy of hiatus hernias. STM. 2012;4:89-93.(in Russian).

Devyatkin AY, Chugunov AN, Gouriev EN. Application of ultrasonic studies dimensional volume image reconstruction in the diagnosis of a hiatal hernia. Practical medicine. 2012; 9(65):146-50. (in Russian).

Velygotsky MM, Gorbulich OV, Komarchuk VV. Prevention of adverse outcomes of laparoscopic correction of antireflux function in patients with reflux disease and achalasia. Odes’kyj medychnyj zhurnal. 2015; 3(153):66-9. (in Ukrainian).

Schietroma M, De Vita F, Carlei F, et al. Laparoscopic floppy Nissen fundoplication: 11-year follow-up. Surg Laparosc Endosc Percutan Tech. 2013 Jun;23(3):281-5. doi: 10.1097/SLE.0b013e31828e3954.

Vansovich VYe, Kotik YuM. Dor’s method prevents functional disorder after laparoscopic hernia. Odes’kyj medychnyj zhurnal. 2015; 2(152):28-30. (in Ukrainian).

Tolstokorov AS, Khubolov AM, Kovalenko YuV. Experience of antireflux surgery application for the treatment of gastroesophageal reflux disease. Saratov Journal of Medical Scientific Research. 2015;11(4): 583-6. (in Russian).

Batvinkov NI, Rusin IV, Karpovich VE. Axial hiatal hernia complicated by short esophagus. Journal of the Grodno State Medical University. 2014;(2):119-21. (in Russian).

Elgandashvili D, Kiladze M. Laparoscopic surgery of hiatal hernia and gastro-esophageal reflux disease. Georgian Med News. 2014 Jun;6(231):17-20.

Jurbenko GA, Karpitski AS. Laparoscopic valve fundoplication as a method of surgical treatment of hiatal hernia. Novosti Khirurgii. 2015;23(1):23-9. doi:10.18484/2305-0047.2015.1.23. (in Russian).

Ospanov OV, Volchkova IS. To the justification of choice of technique laparoscopic fundoplication. Modern problems of science and education. 2012;2:80. (in Russian).

Singhal V, Khaitan L. Gastro-esophageal reflux disease: diagnosis and patient selection. I ndian J Surg. 2014 Dec;76(6):453-60. doi: 10.1007/s12262-014-1090-x.

Karpitski AS, Jurbenko GA, Shestiuk AM. Videolaparoscopic fundoplication as correction method of the lover esophageal sphincter insufficiency. Novosti Khirurgii. 2013;21(2):94-9. doi: 10.18484/2305-0047.2013.2.94. (in Russian).

Broeders JA, Mauritz FA, Ahmed Ali U, et al. Systematic review and meta-analysis of laparoscopic Nissen (posterior total) versus Toupet (posterior partial) fundoplication for gastro-eosophageal reflux disease. Br J Surg. 2010 Sep;97(9):1318-30. doi: 10.1002/bjs.7174.

Grubnik VV, Malinovskiy AV. Comparison of laparoscopic crural repair and lightweight mesh repair for large hiatal hernias: preliminary results of prospective randomized trial. Ukrai’ns’kyj zhurnal maloinvazyvnoi’ ta endoskopichnoi’ hirurgii’. 2015;19(2-3):22-8. (in Russian).

Timerbulatov MV, Senderovich EI, Grishina EE, Sannikov EN. Experience of laparoscopic surgical treatmen of paraesophageal hiatal hernias. Perm Medical Journal. 2014;31(5):22-9. (in Russian).

Dellemagne B, Perretta S. Twenty years of laparoscopic fundoplication for GERD. World J Surg. 2011 Jul;35(7):1428-35. doi: 10.1007/s00268-011-1050-6.

Granderath FA, Schweiger UM, Pointner R. Laparoscopic antireflux surgery: tailoring the hiatal closure to the size of hiatal surface area. Surg Endosc. 2007 Apr;21(4):542-8. doi: 10.1007/s00464-006-9041-7.