Quality of life assessment in patients with hiatal hernia in early and remote period after surgery

Goal: hatal hernia (HH) remains a topical surgical issue as it is always accompanied by gastroesophagal reflux causing patients complains of heartburn. Reflux and consequently reflux-esophagitis results in severe esophageal complications (Barret's esophagus, esophageal cancer), extraesophagal problems such as bronchial asthma and laryngitis. However, at present the main issue in managing rexlux patients is the reduction in their life quality. Herein assessment of life quality may be a valid marker of surgical treatment effi cy. Methods: here we estimate a Nissen-Rosseti modifi d technique in comparison with the original operation. Life quality was assessed in both groups of patients in early and remote periods after surgery. Totally 86 patients were enrolled (42 underwent original Nissen-Rosetti operation, 44 were operated on using the modifi d technique). In order to estimate life quality we utilized GSRS and SF-36 scales. Results: аnalysis demonstrates moderate superiority of modifi d hernioplastics according to both scales in early and remote period. Better results in this group rely on technical novelty (including patent-pending features) of the modifi d operation as compared to the original method. Conclusion: higher life quality in the abovementioned group, modifi d laparoscopic technique for Nissen-Rosetti operation can be recommended for clinical practice in GERD-oriented surgical centers.