SURGICAL TREATMENT OF ESOPHAGEAL HIATUS HERNIA BY TRANSTHORACIC HERNIOTOMY

摘要

In view of the extensive operation required for repair of hiatus hernia by transthoracic or abdominal approach, herniotomy was done in three cases. Objectives were to (a) widen the esophageal hiatus, (b) remove the hernial sac, (c) cut the structures of the omentum and lesser curvature so that the stomach would lie flat in the chest, and (d) fix the stomach at the new level.After the operation, all three patients were free of the symptoms of indigestion of which they had previously complained.