Clinical experience of laparoscopic hiatal hernia repair in primary hospital.

Objective Evaluate the clinical effects and feasibility of laparoscopic hiatal hernia repair in primary hospital. Methods From March 2009 to December 2012, 6 cases of laparoscopic hiatal hernia repair and 5 cases of open hiatal hernia repair were conducted in Yanqi county hospital. Clinical information were retrospectively analyzed. Results 6 patients were received laparoscopic hiatal hernia repair with mesh and combined with fundoplication, 3 for Nissen and 3 for Toupet.All of them achieved completely symptomatic relief without retrosternal burning-sensitive pain, acid regurgitation and belching. No complications, no conversion to open surgery and no death cases. With the follow-up of 24 months, no recurrence in laparoscopic group and no inflammationand anabrosis of esophagusby gastroscopic. Conclusion Primary hospital with hard condition and surgical experience can develop laparoscopic hiatal hernia repair, the long-term clinical and social effects are remarkable. Key words: Hernia, hiatal hernia; Laparoscopy