Using the welding of soft biological tissues during laparoscopic repair of hiatal hernia
Purpose. To analyze short-term results of surgical treatment of patients with hiatal hernia complicated by gastroesophageal refiux disease using a high-frequency generator of welding of soft biological tissues.Materials and methods. A retrospective analysis of the short-term results of treatment of 171 patients suffering from hiatal hernia complicated by gastroesophageal refiux disease was performed. Depending on the method of intraoperative hemostasis, patients were divided into 3 study groups. The first group included 64 patients with using mono- and bipolar coagulation and clipping large vessels. The second group included 38 patients using the ultrasonic dissection. The third group included 69 patients using a high-frequency generator of welding of soft biological tissues EK-300M1.Results of the study. The duration of hospital stay was 7.1 ± 1.8 days. Using the welding of soft biological tissues the risk of developing intraoperative bleeding was 3.2 times lower, the risk of developing postoperative complications was 1.9 times lower in comparison with the standard method using mono- and bicoagulation. Using the welding of soft biological tissues made it possible to reduce the average duration of surgical intervention by more than 30 minutes in comparison with the group of mono- and bipolar coagulation. The frequency of intraoperative blood loss, postoperative complications and the duration of surgical intervention in the groups using “Harmonic Ace” or “EK-300M1” were comparable.Findings. Laparoscopic interventions are safe, less traumatic, provide the possibility of early patients’ rehabilitation. Using the welding of soft biological tissues can reduce the time of surgical intervention, reduce the frequency of intraoperative bleeding and postoperative complications