Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2014 Vol. 22 No 2

GENERAL AND SPECIAL SURGERY

DOI: http://dx.doi.org/10.18484/2305-0047.2014.2.164   |  

O.A. BAULINA, A.S. IVACHEV, V.A. BAULIN, .. BAULIN

LAPAROSCOPIC FIXATION OF HIS ANGLE USING XENOPERICARDIAL BAND IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE

SBEE APE Penza Institute of Physicians Advanced Training,
The Russian Federation

Objectives. To carry out a comparative evaluation of the results of laparoscopic His angle fixation with the polypropylene mesh and xenopericardial band in patients with gastroesophageal reflux disease.
Methods. Depending on the fixation material type used for the laparoscopic His angle fixation the patients were divided into two groups. In the main group (32 patients) antireflux surgery was performed using biological implant the calf pericardium. In the comparison group (162 patients) surgery was performed using polypropylene mesh as a fixation material.
Results. Indications for antireflux surgery were: reflux esophagitis, extraesophageal manifestations of gastroesophageal reflux disease, failure of the cardia, hiatal hernia, ineffective conservative treatment, expressed clinic of gastroesophageal reflux disease, reduction quality of life, the impossibility of an adequate medical treatment due to economic factors, combined abdominal pathology, patient preference even with an effective treatment in the case of the reduced quality of life, lifelong need for conservative treatment and its high cost. In both groups, attention was paid primarily to the prosthesis-associated complications. In the main group there were no such complications and early postoperative complications were: dysphagia during 3 days (3,1%); hyperthermia during 2 days (34,4%). In the distant postoperative period, 95% of clinic, endoscopic and radiographic results may be regarded as good and excellent. In the comparison group prosthesis-related the following complications were observed: suppuration in the mesh area (1,9%); mesh eruption through the posterior wall into the lumen of the esophagus (5,6%); foreign body sensation (2,5%). In the distant period good and excellent results make up 89,5%.
Conclusions. The first positive short- and long-term results manifested good prospects of the new method, using the xenopericardial plate as a fixation material, and possibilities of its introduction in the antireflux surgery.

Keywords: gastroesophageal reflux disease, surgical treatment, laparoscopic fixation of His angle, xenopericard, polypropylene mesh
p. 164 170 of the original issue
References
  1. Furnee EJ, Draaisma WA, Broeders IA, Gooszen HG. Surgical reintervention after failed antireflux surgery: a systematic review of the literature. 2009 Aug;13(8):153949.
  2. Karpitskii AS, Pan"ko SV, Zhurbenko GA, Boufalik RI, Shestiuk AM, Vakumich DS, Ignatiuk AN. Sposob khirurgicheskogo lecheniia nedostatochnosti nizhnego pishchevodnogo sfinktera [The method of surgical treatment of insufficiency of the lower esophageal sphincter]. V kn. materialy XVI S"ezda Ros o-va endoskop khirurgov; 2013 Fevr 2628. Moscow RF. p. 5859.
  3. Gutschow CA, Holscher AH. Surgical treatment of gastroesophageal reflux disease. Langenbecks Arch Surg. 2013 Jun;398(5):66167.
  4. Zalevskii AA. Innovatsionnaia kontseptsiia patogeneza i khirurgicheskogo lecheniia gastroezofageal'noi refliuksnoi bolezni v sochetanii s kardial'noi gryzhei pishchevodnogo otverstiia diafragmy [The innovative concept of the pathogenesis and surgical treatment of gastroesophageal reflux disease in combination with cardiac hiatal hernia]. Krasnoiarsk gos med un-t im VF Voino-Iasenetskogo. Krasnoiarsk, RF: KrasGMU, 2009. 115 p.
  5. Alishikhov ShA, Meshkov MV, Bogdanov DIu. Obosnovannost' primeneniia laparoskopicheskikh tekhnologii pri khirurgicheskom lechenii gastroezofageal'noi refliuksnoi bolezni [Validity of the use of laparoscopic techniques in the surgical treatment of gastroesophageal reflux disease]. Al'manakh in-ta khirurgii im AV Vishnevskogo. 20124;7(1). c. 128.
  6. Antoniou SA, Koch OO, Antoniou GA, Pointner R, Granderath FA. Mesh-reinforced hiatal hernia repair: a review on the effect on postoperative dysphagia and recurrence. Langenbecks Arch. Surg. 2012 Jan;397(1):19-27.
  7. Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, Grassi GB. Evidence-based appraisal of antireflux fundoplication. Ann Surg. 2004 Mar;239(3):325-37.
  8. Baulin AA, Baulin VA, Baulina EA, Starov AA. Pat. 2431448 Ros. Federatsiia, MKI6 A 61 V 17/00 Sposob khirurgicheskogo lecheniia gryzh pishchevodnogo otverstiia diafragmy [The method of surgical treatment of hiatal hernia]; zaiavitel' i patentoobladatel' Baulin A.A. 2009111933/14; zaiavl. 31.03.2009; opubl. 20.10.2011 Biul. 29. Data publikatsii: 20 Oktiabria, 2011
  9. Granderath F., Kamolz ., Pointner R. Gastroesophageal reflux disease. Wien: Springer-Verlag, 2006. p. 320.
  10. Kotiv BN, Priadko AS, Vasilevskii DI, Silant'ev DS. Lechenie gryzh pishchevodnogo otverstiia diafragmy s primeneniem setchatykh implantov [Treatment of hiatal hernias with mesh implants using]. Khirurgiia. Zhurn im NI Pirogova. 2012;(4):5962.
  11. Stadlhuber RJ, Sherif AE, Mittal SK, Fitzgibbons RJ Jr, Michael Brunt L, Hunter JG, Demeester TR, Swanstrom LL, Daniel Smith C, Filipi CJ. Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series. Surg Endosc. 2009 Jun;23(6):1219-26
  12. Starodubtsev VA, Kupriianov MP, Belousova IB, Baulin AA, Baulin VA. Blizhaishie i otdalennye endoskopicheskie rezul'taty khirurgicheskogo lecheniia gastroezofageal'noi refliuksnoi bolezni [The short- and long-term results of surgical endoscopic treatment of gastroesophageal reflux disease]. Eksperiment i Klin Gastroenterologiia. 2012;(4):3942.
  13. Tytgat GN, McColl K, Tack J, Holtmann G, Hunt RH, Malfertheiner P, Hungin AP, Batchelor HK. New algorithm for the treatment of gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 2008 Feb 1;27(3):249-56.
  14. Burikov MA, Shul'gin OV. Modifitsirovannyi metod laparoskopicheskoi khirurgicheskoi korrektsii gryzhi pishchevodnogo otverstiia diafragmy [The modified method of laparoscopic surgical correction of hiatal hernia]. Al'manakh In-ta khirurgii im AV Vishnevskogo. 2012:7(10):11112.
  15. Mitroshin AN, Sivakon' SV, Mozerov SA, Abdullaev AK, Mitroshin IA. Issledovanie biointegratsii ksenoperikarda pri plastike defektov sukhozhil'no-sviazochnykh struktur. Izvestiia vyssh ucheb zavedenii [Study biointegration xenopericardial in plastic tendon-ligamentous structures defects]. Povolzhsk region. Med nauki. Klin Med. 2010;3(15):3543.
Address for correspondence:
440060, Rossiiskaia Federatsiia, g. Penza, ul. Stasova, d. 8 A, GBOU DPO Penzenskii institut usovershenstvovaniia vrachei, kafedra khirurgii i endoskopii,
e-mail: olga.kosenko@mail.ru,
Baulina Ol'ga Aleksandrovna
Information about the authors:
Baulina O.A. A post-graduate student of the surgery and endoscopy chair of SBEE APE Penza Institute for Advanced Training of Physicians.
Ivachev A.S. MD, professor, a head of the surgery and endoscopy chair of SBEE APE Penza Institute for Advanced Training of Physicians.
Baulin V.A. PhD, an assistant of the surgery and endoscopy chair of SBEE APE Penza Institute for Advanced Training of Physicians.
Baulin A.A. MD, professor of the surgery and endoscopy chair of SBEE APE Penza Institute for Advanced Training of Physicians.
Contacts | ©Vitebsk State Medical University, 2007