Abstract:

The aim of study is to analysis the early results and effectiveness of laparoscopic primary crus repair and antireflux surgery, and to guide clinicians in the selection of surgical candidates and methods. Between June 2013 and June 2018, the data of patients who were operated due to hiatal hernia and reflux esophagitis were reviewed retrospectively. All patients were evaluated with manometry, 24-hour pH monitorization and en- doscopy before surgery. Routine endoscopic control was performed at postoperative 6th month. Demo- graphic characteristics, preoperative and postoperative endoscopy findings, and complications were recorded. Eighteen (56.2%) of the patients were male and 14 (43.8%) were female. Early complications were observed in 6 (18.8%) patients. Esophagitis was not observed in 28 (87.5%) of the patients at the endoscopic controls performed at the postoperative 6th month. According to the Los Angeles classification, esophagitis, which was preoperative grade C, decreased to grade A in 3 (9.4%) patients. In 1 (3.1%) patient, esophagitis persisted at the same severity as the preoperative period. At the end of the 6th month, none of the patients had dysphagia and recurrence. The combination of laparoscopic suture cruroplasty and Nissen fundoplication was found to be an effective treatment in terms of early complications and recurrence rates, as well as the treatment of esophagitis in hiatal hernia patients with reflux esophagitis.