Diagnozis and surgycal treatment of hiatal hernial and gastroesofageal reflux deases During four months (February - May 2009) in General Surgery Department of Medicine and Pharmacy State University “Nicolae Testemithanu” 20 patients with hiatal hernia and gastroesofageal reflux deases were treated by surgical way. Clinical, X-ray, pH monitoring and endoscopic methods of diagnostic were used. Laparascopic method of treatment was possible in 19 cases. In five cases was applied simultaneously operation: in four cases - cholecystectomy, and in one case – hernioplasty with prosthetic mesh for incisional eventration.

Pe parcursul a patru luni (februarie – mai 2009) în clinica Chirurgie Generală şi Semiologie a USMF „Nicolae Testemiţanu” au fost trataţi chirurgical 20 de pacienţi cu hernii hiatale şi boala de reflux gastroesofagian. Pentru diagnostic au fost utilizate datele clinice, radiologice, endoscopice şi pH-metria diurnă. Rezolvarea laparascopică a fost posibilă în 19 cazuri. La patru pacienţi simultan s-a efectuat şi colecistectomia laparascopică, iar la un pacient hernia hiatală rezolvată laparascopică a fost asociată cu hernioplastia cu plasă a unei hernii ventrale postoperatorii.