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Article
October 1952

SIMPLIFIED TECHNIQUE FOR TREATMENT OF ESOPHAGEAL HIATUS HERNIA

Author Affiliations

ANN ARBOR, MICH.; DETROIT
Former Resident in General Surgery, the Jennings Memorial Hospital, Detroit (Dr. Gardner).; From the Department of Surgery, Wayne University College of Medicine, and the Surgical Department of Harper Hospital, and the Jennings Memorial Hospital (Drs. Hartzell and Tuttle).

AMA Arch Surg. 1952;65(4):564-569. doi:10.1001/archsurg.1952.01260020580009
Abstract

ESOPHAGEAL hiatus hernia is a clinically demonstrable lesion more frequently than may be generally realized. Schatzke1 stated that by using greater than normal intra-abdominal pressure during fluoroscopic examination, hiatus hernia can be demonstrated in 70% of patients over 60 years of age. Most of these lesions are asymptomatic, and most of those with mild symptoms may respond to conservative therapy. A few, however, may be attended by symptoms and signs sufficiently grave to demand surgical intervention.

The repair of hiatus hernia may not be a simple procedure; moreover, the rate of recurrence following conventional techniques is almost prohibitive. Soutter,2 for instance, in analyzing the results of hiatus hernia repair at Massachusetts General Hospital found a recurrence rate of 14% following the transthoracic approach and a rate in excess of 40% in those patients treated by the abdominal route. One of us had the disconcerting experience of having seen

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