Fundoplication

Fundoplication is a surgical procedure used to treat reflux disease and hiatal hernias. It involves changing the shape of the fundus of the stomach, which reduces the likelihood of stomach contents refluxing into the esophagus.

How exactly is fundoplasty performed? During the operation, the surgeon uses a device to cut and fold the stomach lining into several folds. This changes the shape of the fundus of the stomach and creates a ridge on its surface that acts as a protective barrier between the stomach and esophagus. It is also possible to use alternative methods, such as chemical or ultrasonic banding, which can also help prevent stomach acid from backing up into the esophagus over a long period of time.

Many people suffering from reflux of gastric juices into the esophagus often do not know what it really is and what threat it poses to their health. Regular backflow of food from the stomach into the esophagus can lead to stomach ulcers, esophagitis, diaphragmatic hernia and even atrophic gastritis. Moreover, the reflux of stomach acid can also cause esophagitis, gastric hernia and other symptoms of gastroesophageal reflux pathology (GERD).

When describing the surgical treatment of an aneurysm of the descending aorta, a number of questions arise regarding the use of endovascular methods here. We will try to consider them in this article.

The occurrence of a parietal (disseminated) aneurysm necessitates primary surgical intervention. The rupture of such an aneurysmal container is most often combined with dissecting thromboembolism, therefore, according to recommendations at the hospital stage of surgical treatment, it is also necessary to restore the integrity of several systemic and pulmonary vessels. However, the simultaneous use of intraoperative angiosurgical technologies and extracorporeal methods of “crushing” is practically impossible. In such situations, an open dissection of the aorta with prosthetics is performed, which consists of performing an aorto-femoral anastomosis to unload the arterial bed - two valves of the iliac artery are not enough to normalize hemodynamics. The classic Nissen operation is not always feasible in