The Results of 101 Operations For Symptomatic Hiatus Hernia a Comparison of Two Different Methods

Abstract

Abstract The results of all the operations for symptomatic sliding hiatus hernia carried out by 1 surgeon during 5½ years are reviewed. One hundred and six operations were done and 101 patients were available for review after 6 months to 5 years. The earlier patients in the series underwent transthoracic or transabdominal hiatus hernia repair, and the later patients underwent fixation of the lesser gastric curve to the anterior abdominal wall, as described by Boerema (1969). Before operation the two groups were clinically comparable. There were significantly less clinical failures after the Boerema operation, and less radiological recurrences. This simple and rapid operation is, therefore, preferred to the more complicated procedure.