Individualized approach in choosing the method of fundoplication

Introduction. A critical aspect of the surgical treatment of gastroesophageal reflux disease (GERD) and hiatal hernias is the selection of the antireflux surgical technique, which determines the success and long-term outcomes of the intervention. The utilization of manometry for assessing esophageal motility has become increasingly relevant, as it provides crucial data regarding peristaltic activity.The purpose of the study. To analyze existing methods of antireflux reconstruction, evaluate their advantages and disadvantages, and determine the feasibility of applying different approaches based on the individual characteristics of patients, thereby improving the outcomes of surgical treatment for gastroesophageal reflux and enhancing patients' quality of life.Materials and methods of research. Review of articles published in scientific databases such as PubMed, Web of Science, Scopus, and eLIBRARY.Results of research. The study discusses the advantages and disadvantages of the Nissen, Chernousov, and Toupet techniques, as well as the importance of a personalized approach tailored to each patient, considering individual characteristics and the severity of the disease.Conclusion. An individualized approach to the treatment of GERD and hiatal hernias, based on patients’ individual characteristics and disease severity, is critical for achieving optimal clinical outcomes and minimizing complications. It is essential to consider not only the effectiveness of treatment methods but also potential complications and long-term consequences for patients.